This report analyses how the emerging healthcare reform and managed care have each changed healthcare delivery on both the macro and micro levels. It highlights the unique differences of health care in the United States especially in comparison to other industrialized nations. Finally, it details the micro as well as macro aspects of health care reform and managed care in the United States. © BrainMass Inc. brainmass.com March 22, 2019, 12:19 am ad1c9bdddf
https://brainmass.com/health-sciences/health-care-management/healthcare-delivery-at-the-micro-and-macro-levels-in-the-usa-497287
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Introduction
Health care reform is here to stay. The issues are so vast, and real, and will continue to affect our lives, and the way health care is delivered and received. Health care in the United States is very different and unique in comparison to most other industrialized nations because it lacks a national (Universial) health insurance program. As such, it is important to understand the micro as well as macro aspects of health care reform and managed care.
Discussion
– Managed Care
Micro Level:
Before managed care, physicians and hospitals were the system’s
principal billing units. After managed care, group practices and
organized delivery systems became the principal billing units and
physicians are now just a part of a clinicians team of an extended team
of health care professionals, in which the very aspect of managed care
organization staffing ratios in the delivery system translates into a
significant physician surpluses, especially specialists surpluses as
well as shortages. The micro level impacts health care at the service
level and in terms of reform would ensure the best and most appropriate
care is provided to patients. In effect, many practitioners act as their
own micro level providers by providing that first entry level of
primary care to patients.
Macro Level:
The macro level facilitates the performance of the entire health care
system internally, by networking and negotiating with insurance
companies, etc. to help improve the front-line and primary care provider
systems, speciality care services, and hospitals and long-term care
facilities to support individuals. Some …
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