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Essay / Research Paper Abstract
A 4 page paper that discusses two separate topics. The first issue is if managed care changes the patient-physician relationship. The writer explains how it might do so. The second issue is incentives to physicians from managed care programs. The writer reports the case of Shering-Plough who were guilty of fraud and also reports a pay-for-performance program. Bibliography lists 4 sources.
Page Count:
4 pages (~225 words per page)
File: ME12_PGhmopp9.rtf
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Unformatted sample text from the term paper:
the final authority on treatment interventions a patient may receive rather than the physician. Because managed care is accompanies with a list of in-network physicians, specialists, etc., a patient may
not even be able to select the primary care physician they want. This places whoever becomes the primary care physician at an immediate disadvantage and in the position of having
to work harder to establish a relationship with the patient. Health care providers do not like it for the same reasons and also because they are often paid late,
if at all. The managed care corporation pays health care providers a fixed amount for specific services (Jecker and Braddock, 2008). In return, they are one of the physicians for
members of that managed care program. Jecker and Braddock (2008) provided a comprehensive overview of managed care with an emphasis on ethics in medicine. These researchers reported that managed care
changes the relationship between physicians and patients. One way was mentioned, patients must choose among the doctors in the network. When the contract between the physician and managed care organization
ends, patients have to switch doctors (Jecker and Braddock, 2008). Some programs offer incentives, which result in the physician spending less time with the patient (Jecker and Braddock, 2008; Sabin,
2008). Incentive programs can actually have very positive outcomes if they are used correctly and ethically (Sabin, 2008). In so doing, they may very well improve the relationship between physician
and patient. In many managed care programs, the doctor is placed in the role of gatekeeper. That means if the patient wants to see a specialists, their primary care
physician must make that referral (Jecker and Braddock, 2008; Sabin, 2008). This can actually be viewed as a positive because it can promote higher quality health care for the patient
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