RESPOND TO EACH CLASSMATE WITH 200 WORDS EACH GIVING SCHOLARLY FEEDBACK AND YOUR OPINION
CLASSMATE#1 Healthinsurance.org (2021) defines managed care as a medical delivery system that tries to keep track of the quality and cost of medical treatments. Most managed care systems use an HMO, EPO, PPO, or POS network design, limiting the number of providers a patient can pick from, whether the patient must use a primary care physician, and the plan covers out-of-network care to varying degrees (Healthinsurance.org, 2021). Most privately insured Americans are enrolled in managed care plans, and more than two-thirds of Medicaid recipients were enrolled in private Medicaid managed care plans (Healthinsurance.org, 2021).
Reducing the cost of healthcare has become the main focus and a cause for concern. Increases in deductibles and copays in employer-sponsored plans have helped keep prices in check over the last decade, but the initiative appears to be running out of steam as the burden on employees becomes unsustainable (Blumenthal