Managed health care is a system by which an outside body, such as a state

or federal government places regulations on the health care process.

St. Luke/ Roosevelt Hospital in Manhattan is currently operating under

a managed health care plan. Vickie Powell, In-patient Pharmacy Supervisor

at St. Luke/ Roosevelt states that the approach to managed care in the

hospital involves a "Gatekeeper" mechanism. According to Powell each

patient is assigned a gatekeeper, a general practitioner who will decide if

the patient is in need of a specialist. If so the gatekeeper will make a

referral to a specialist. Providing the patient chooses to follow the

gatekeeper's referral he or she will be granted the health care benefits

covered under the managed health care plan. If they are to go against the

referral and see a doctor not recommended they do not r

of President Bill Clinton. Clinton's plan calls for universal health

to the status of the present health care system. Approximately 100,000

the question of what happens to now coming into the hospital without any

emergency room with or without insurance. This causes a large deficit for

of St. Luke/ Roosevelt or as large as the national plan proposed by

that it attempts to provide universal insurance without placing limitations

asking for. The reforms can be made on the hospital level, like the plan

people lose their health insurance each month. Unfortunately the present

covered under the managed health care plan. If they are to go against the

Managed health care plan that has received the most publicity is that

Some common words found in the essay are:
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Approximate Word count = 904
Approximate Pages = 4 (250 words per page double spaced)