Saturday, February 29, 2020

Managed care backlash Essay Example | Topics and Well Written Essays - 250 words

Managed care backlash - Essay Example The notion of gatekeeping generally represents laying down the requirement of visiting healthcare specialists only after getting a referral from a primary physician. On the other hand, the practice of utilization review denotes submission of the proposed processes to the respective insurers and more importantly introduction of a potential denial for covering experimental or expensive treatments (Pinkovskiy, 2013). Though managed care enabled the insurers to reimburse the physicians as well as the hospitals in return for the functions or the procedures performed by them, the practice did not intervened treatment choices of the physicians. This eventually restricted the medical practitioners to provide effective care to the patients, as they lack in selecting best practices associated with delivering quality along with effective healthcare to the patients. Specially mentioning, there exist certain situations based on which the impacts of managed care backlash particularly on reimbursement can be witnessed. In this context, such situations were reckoned to be lowering treatment quality on behalf of medical specialists and limiting patient choices among others (Sekhri,

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