Essay On Managed Care

The United States health care system has a unique way of delivering health care to its citizens. Unlike other countries, that supply a universal access system, the United states has a system that is developed through market forces and designed to take care of the needs of a certain population. With the United States being highly populated, the health care system does not support every person living in the US by having access to health care that is granted to those is various countries. The design and organization of the United States health care system was put into subsystems that would allow citizens to be put in a category as to which health care plan is best for them. The most dominant health care delivery system is managed care. Managed care strives to achieve efficiency in the health care systems. According to shi (2015) Their role is to “Integrate the basic functions of health care delivery, employ mechanisms to control utilizations of medical services, and determine the prices at which the services are purchased, and how much the provider gets paid” (p. 3). Managed care is most dominant and available to most Americans because they also have partnerships with different roles of health care. With managed care acting as the middle man, many

This indicates those individuals with a low income, no insurance, and/or have a preexisting condition will most likely qualify for this form of coverage. Medicare eligibility is for those that are 65 or older, and have a server disability. While Medicaid is available to those of low income, and according to shi (2015), “ Medicaid is the third largest source of insurance in the country”( p.7). Some citizens can be eligible for duel coverage that allows Medicare and Medicaid to provide very good health coverage. Lastly military medical care is free to all active duty military, U.S army, navy , air force, and costal