Summary:
An evaluation of the relative merits of the traditional indemnity insurance system versus the managed care system with regard to quality of care and efficiency. It considers the influence of recent changes in health care on both medical institutions and customers.
INDEMNITY INSURANCE SYSTEM VERSUS THE MANAGED CARE SYSTEM
2005
Table of Contents
- Abstract
- Introduction
- Body
- 1General Information about Healthcare systems
- 2Types of Plans
- 2.1Indemnity
- 2.2Managed Care
- 2.2.1 Health Maintenance Organizations
- 2.2.2 Preferred Provider Organization
- 2.2.3 Point of Service
- 2.2.4 Table 1
3.3 Wellness Programs
3.4 Influences of managed care system on:
3.4.1 Institutions
3.4.2 Customers
3.5 Benefits of indemnity insurance
3.6 Managed care and Quality
3.6.1 Quality Indicators
- 7 Recommended Changes
- 8 The role of healthcare managers
3.8.1 Healthcare managers within the providers¡¦ institutions
3.8.2 Healthcare managers within the companies
- Conclusion
- References
Abstract
People have to face it today that it is impossible to avoid healthcare and therefore some kind of health insurance needs to be chosen. The costs of medical care and treatment are rising every year, and uninsured individuals live with the high risk of facing huge expenses because of emergencies and life-threatening.....
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