PowerPoint 1215 Slides With 75150 Words Of Speaker Notes

Power Point 1215 Slides With 75150 Words Of Speaker Notes At Least

Power Point 12–15 slides with 75–150 words of speaker notes + at least 2 scholarly resources In a recent department head meeting, chief executive officer (CEO) Beranger discussed managed care and why Silver Creek Hospital is engaged in what she feels is an important method of health care delivery. Interestingly, not many people in your organization are familiar with some of the personal and professional ethical concerns and challenges that may arise as a result of managed care. In an effort to inform the staff about managed care, CEO Beranger asks you to construct a PowerPoint presentation that introduces 2–3 ethical concerns, issues, or challenges of managed care. You also are asked to provide an overview of how managed care impacts the physician–patient relationship. You also feel it necessary to add 1–2 slides that discuss the history of managed care.

Paper For Above instruction

Managed care has revolutionized the healthcare industry by emphasizing efficiency, cost containment, and quality of care. As Silver Creek Hospital considers continuing or expanding its engagement with managed care organizations (MCOs), understanding the ethical concerns, historical background, and impacts on the physician-patient relationship is essential for informed decision-making and maintaining ethical standards in healthcare delivery.

Introduction to Managed Care

Managed care refers to a healthcare delivery system designed to control costs and improve quality by coordinating and managing the provision of services through networks of providers. Originating in the 20th century, particularly in the 1970s, managed care sought to address the escalating costs of healthcare by introducing preventive care, utilization management, and financial incentives for providers (Davis et al., 2014). Its primary models include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Accountable Care Organizations (ACOs). Over the decades, managed care has become a dominant structure within the US healthcare system, influencing how care is organized, financed, and delivered.

Historical Development of Managed Care

The concept of managed care traces back to early forms of health maintenance organizations established in the 1920s and 1930s, but it gained significant momentum in the 1970s with the passage of legislation promoting cost-effective healthcare. The Health Maintenance Organization Act of 1973, signed into law by President Richard Nixon, was pivotal in encouraging the growth of HMOs through federal funding and mandates. The 1980s and 1990s saw further expansion due to rising healthcare costs and the need for systematic cost control, leading to diversified models such as PPOs and ACOs. Recent developments focus on integrating technology, population health management, and value-based care, shifting the focus toward patient outcomes (Kaiser Family Foundation, 2020).

Ethical Concerns in Managed Care

Despite its benefits, managed care raises significant ethical issues that affect all stakeholders, particularly patients and healthcare providers. Notably, three primary concerns include:

1. Restriction of Patient Autonomy: Managed care organizations often implement provider networks and utilization review processes that can limit patients’ choices of providers and treatments. This restriction may undermine patient autonomy and informed consent, raising ethical questions about the ability of patients to make fully informed choices about their care (Ginsburg & Makuc, 2016).

2. Financial Incentives and Quality of Care: The emphasis on cost containment can create conflicts of interest where providers may feel pressured to limit services or recommend more cost-effective options that may not align with the patient's best interests, potentially compromising the quality and appropriateness of care (Beauchamp & Childress, 2013).

3. Equity and Access Concerns: Managed care’s emphasis on cost efficiency can lead to disparities in access, particularly among vulnerable populations. Limited access to certain providers or treatments may exacerbate existing health inequities, raising ethical questions about justice and fairness in healthcare delivery (Peters, 2012).

Impact of Managed Care on the Physician-Patient Relationship

The traditional physician-patient relationship, characterized by trust, individual judgment, and shared decision-making, can be significantly affected by managed care practices. Physicians often have to adhere to utilization review protocols and navigate the constraints of provider networks, which may limit their clinical discretion (Bodenheimer & Grumbach, 2016). Patients might perceive reduced personalized attention or feel their care decisions are influenced or limited by third-party organizations. This dynamic can erode trust and hinder open communication, making shared decision-making more challenging (Epstein & Street, 2011). Conversely, some argue that managed care can enhance relationships through coordinated care and preventive efforts, provided that physicians maintain ethical commitment and transparency.

Conclusion

While managed care has played a vital role in controlling healthcare costs and enhancing system efficiency, it introduces significant ethical challenges that must be acknowledged and addressed. Understanding its historical development helps contextualize current practices, and being aware of the ethical concerns enables healthcare providers and administrators to implement strategies that uphold patient rights, ensure equitable access, and maintain trust. As Silver Creek Hospital moves forward, balancing cost-effective care with ethical obligations will be essential for sustainable and ethically sound healthcare delivery.

References

• Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics (7th ed.). Oxford University Press.
• Bodenheimer, T., & Grumbach, K. (2016). Understanding health policy: A clinical approach. McGraw-Hill Education.
• Davis, K., et al. (2014). Managed care: What it is and how it affects quality of care. Journal of Health Economics, 34, 29-37.
• Epstein, R. M., & Street, R. L. (2011). The values and value of patient-centered care. The Annals of Family Medicine, 9(2), 100-103.
• Ginsburg, P. B., & Makuc, D. M. (2016). Managed care and patient choice: Ethical considerations. Journal of Medical Ethics, 42(5), 314-319.
• Kaiser Family Foundation. (2020). The history of health maintenance organizations (HMOs). Retrieved from https://www.kff.org
• Peters, D. H. (2012). Equity and health care: Ethical considerations. Health Policy and Ethics, 5(3), 176-182.