Differences between Blue Plans, Private Insurance, and Managed Care Plans

Differences between Blue Plans, Private Insurance, and Managed Care Plans

Introduction

Managed care is the strategy designed to render streamline health care services with quality and at affordable costs. By the help of regulation, supervision and consulting, managed care programs tend to assure a definite standard of care costs, performance measure, check and balance. In addition, some managed care packages aim to help policyholders, and stay healthy through preclusion. Managed care plans normally cover partial or full costs of obtaining health services. The policyholders of these plans are usually motivated, if not required, to take benefit of services within a system of permitted suppliers. Some managed care plans let their policyholder to acquire services from indemnity providers outside their network. However, these plans generally cover less of the costs when a participating provider is not involved. There are different available models of managed care plans, and they have different impacts and have different benefits for policyholders, their dependants, and providers (Harris, 1998).

Discussion

Managed Care Plans

Managed care plans manage and develop care access, offering preventive medical control health spending and the fight against fraud. They are also intended to treat, rehabilitate, reintegrate. A managed care plan leads and a genuine policy of risk management. This approach is at the heart of its insurance business health solidarity. Solidarity and equality of access to care are the founding values of managed care. The origin of the managed care plans explains why, in our country, there is no uniform system of social security that is applicable equally to all citizens. Indeed, each plan is developed independently around certain occupational categories according to the possibilities and social, political and economic moment (Vines, 2008).

However, there are still people who are not covered by any plan. To meet the basic needs of ...