Managed Care Organizations (Essay Sample)

Managed Care Organizations
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Managed Care Organizations
Managed care organizations serve defined groups of people with limited resources in an integrated system of healthcare. Therefore, a single managed care organization can provide pay for care. Managed care organizations as providers are required to have competence, skills and fidelity to their patients. In the same context, managed care organizations have duties of stewardship and justice, which can significantly conflict with provider duties. This means that, managed care organizations have conflicting roles; hence, conflicting accountability, which requires the use of working strategies when involving physicians in managed care processes (Kongstvedt, 2012).
Physicians perceived managed care as an added responsibility. Therefore, from this context, the main strategy is to eliminate such a perception through comprehensive education on the same. Well, to a greater degree, there are added responsibilities; hence, the managed care organization should consider the provision of incentives to cater for this view. The incentives, which can be in the form of bonuses, will help in encouraging physicians to provide the most cost-effective and clinically appropriate care. On the other hand, managed care raises new ethical issues on the part of the patient, which the physician is required to comply with or observe (Mains, Lykens, & Coustasse, 2003).
This is an important issue, which the managed care organization must consider for effective or success in involving physicians in managed care. The organization must educate the physicians on these ethical issues to avoid possible ethical dilemmas. In the same context, patients must also understand their responsibilities on these ethical requirements to avoid putting the physician in potential legal cases (Kongstvedt, 2012). Then, managed care is complex, and the involvement of nurses can make physicians feel threatened. Therefore, managed care organizations must outline the roles of these two professionals to avoid possible conflicts, including possible dissatisfaction, which can compromise physician involvement in manage...