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Essay / Research Paper Abstract
A 10 page research paper that discusses issues relevant to the future of managed care. The writer focuses on possible legislative change, the trend in consumer-directed health plans and the increased use of nurse practitioners. Bibliography lists 10 sources.
Page Count:
10 pages (~225 words per page)
File: D0_khfutmc.rtf
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Unformatted sample text from the term paper:
change ahs been the inability of experts to predict how the system will continue to evolve (Kongstvedt, 2003). In the early 1980s, many people predicted that the staff or group
model HMOs would provide all health care by 1995, but, in actuality, such HMOs have been declining in number and in 2000 represented only a small percentage of total enrollment
(Kongstvedt, 2003). The following literature review looks at the future of managed care and health care, in general, in the US. This examination shows that the only truly predictable feature
of American health care is that change is likely to remain the most predictable constant. On the other hand, Kongstvedt (2003) enumerates a number of factors that are
somewhat predictable. For example, it can be anticipated with relative certainty that there will be an increase in e-commerce for all parties: a continued slow drift to increased consumerism;
a continuing shift in demographics; and continuing consolidation of managed care plans and provider systems, but only to a certain point (Kongstvedt, 2003). As this suggests, the health care
environment is both "volatile and dynamics," as it creates issues that will remain consistently at the forefront of public policy creation (Abbey, 2003, p. 820). Therefore, it is crucially important
that MCOs develop their capacity to handle changes that are driven legislatively by congressional response to public reactions to managed care (Abbey, 2003). In this regard, Abbey (2003) feels that
there will be an increasing trend toward more regulation. According to Taylor (2003), managed care has in recent years experienced its toughest period since the early 1970s. Much of
the negative press results from increasing health care costs, increasing employee dissatisfaction and a genuine concern expressed by major purchasers of managed care, such as the government, over where the
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