American Health Care System

Historical Perspectives of Health Care Services Delivery Health assist cost has risen dramatically due to advancements in technology, proliferation of wellness check specialty, inflation, growth of aging population, and desires and demands of service users. In order to keep in line the health bearing costs without jeopardizing the quality and admittance of care, the health care delivery system has been continuously changed, resulting in the change magnitude independent specialty practices and the growth of managed care plans (DeNavas-Walt, Proctor, & angstrom unit; Smith, 2007). such plans include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and maculation of Service (POS). Managed care plans are defined as health insurance plans that contract with health care providers and facilities to provide necessaryand cost-effective health care for members at appropriate costs (MedlinePlus, 2010). Recently,stateand national governments have turned to managed care to help with the Medicaid andMedicareprograms. In 1990s, the managed care plans controlled overall health care spending by development the primary care physician as their gatekeepers to limit access to specialists and expensive procedures (Jones & Johnson, 2006). HMOs restricted recommended care by usage review.

In addition, payments were based on the diagnosis regardless of the genuine period of treatment or hospitalization. This encouraged hospitals and physicians to reduce the aloofness of hospital stay. These changes created new ethical issues, such as supporting physicians to provide only minimal obligated care to precipitate expense and rejecting some applicants with potentially expensive chronic illnesses (Orszag & Ellis, 2007). . In the managed care environment, nurses can take expanded roles of a care manager, a utilization review nurse, a lay on the line manager, or a quality officer in unhomogeneous healthcare settings as well as the traditional roles of a direct patient care nurse, a nurse educator, and a nurse... Since... If you want to get a full essay, order it on our website: Ordercustompaper.com

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