MANAGED CARE ORGANIZATIONS

Managed Care Organizations

Managed Care Organizations

Discuss three major criticisms/ drawbacks of managed care.

The three major drawbacks of managed care for veterans include the following:

Excessive bonuses given to executives;

The inability to timely process Veteran's disability claims;

High deductibles in Federal Employees Health Benefits (FEHB) Program.

Excessive Bonuses to Executives

From the above drawbacks of managed care for veterans, it can be observed that veterans are facing problems in receiving the health care service, as the employees of the Department of Veterans Affairs are not performing well despite of their high bonuses. In general, it is noticed that when the employees or executives of any organizations are given or paid high bonuses then their performance increases as the motive of the company is to motivate their employees through high bonus amounts. However, in the case of the Department of Veterans Affairs, employees are not performing as they may have become lazy or they do not understand their responsibilities towards their duties that is, to serve and facilitate the veterans (McCray, 2013).

Inability to Timely Process Veteran's Disability Claims

In addition to this, another crucial factor is the inability to timely process Veteran's disability claims, which relates to the above drawback. It is found that the employees or executives of the department are not facilitating veterans well, which is causing problems (McCray, 2013). Disability claims of veterans are a major issue which should be processed timely in order to make the veterans facilitated.

High Deductibles in Federal Employees Health Benefits Program

The availability of Federal Employees Health Benefits Program is to fulfill the needs to the employees and also meeting up their health care needs of families. This allows veterans to have the broad choice selection of health care plans in US. On the other hand, it is observed that veterans have to pay high deductible amounts, when they select high deductible plans (McCray, 2013). For that reason, it is important and crucial that deduction should made low so that the burden from the veterans can be reduced.

Explain the major features of a consumer driven healthcare plan (CDHD).

CDHD that is consumer driven health care plan makes specific allowances which are based on high premiums. CDHD facilitate the veterans in receiving health care needs on a prepaid basis by choosing a physician from certain panel of health care providers.

It is noted that people of United States are moving towards consumer driven healthcare plans to make sure that they receive effective, timely and good health care. Based on the affordable insurance plans, employees are keen to pay high rate of premium in order to keep away from having to deal with being constrained to less popular providers of health care (McCray, 2013). Consumer driven healthcare plan allows the employees to get health care based on the availability of the health care providers outside the geographical area or in particular geographical areas.

Besides it, managed care organization is a set of legal, financial, managerial, information and medical tools that support the delivery of quality health care in an efficient manner which is basically ...