Quality of Indemnity Vs. Managed Care Insurance System

An overview of the damages compensation insurance system and the nursing care system catalog that are managed in 2005. Impact of Managed Medical System: 3.4.1 Institution 3.4.2 Customer 3.5 Advantages of Compensation Insurance 6 Managed Care and Quality 3.6.1 Quality Indicators <o

These networks fill the gap in the delivery system developed after decades of compensation for health care services. This gap is a lack of mechanism to ensure that the care provided by the delivery system is cost effective and reasonable. In the basic compensation model distribution system, patients have little incentive to use only cost-effective providers. Likewise, compensation payer did not focus historically on cost-effective medical needs. In fact, if the patient chooses a less cost effective provider, the payer can not do it.

Health management institutions (often called HMOs) are clear leaders of managed care providers. Other types of managed health care plans include priority medical providers, service point plans and management fee programs. Since most research is focused on HMO, please do not explain the change of HMO type or the change of management level of non-HMO plan. HMO effectively reduces medical expenses. Of course, if the insurance premium rate goes down and it remains reasonable and affordable, the quality of medical care will decline. However, according to most evidence, these cost savings are achieved without significantly reducing the quality of medical care. This suggests that managed health insurance plans, especially industrial health insurance, tend to reduce the inefficiency of health care systems

The government changed health insurance from medical insurance to managed care. The central planner focuses on cost rather than input, service and quality rather than output. Time is an important element of any input-centered system. Longer care takes quality care. Commitment to input is combined with ideological commitment to income equality. If central planning personnel arbitrarily fix their income to fashionable social responsibility, it creates illegal incentives.