Example research essay topic: Management Seminar On Managed Health Care And Technology – 1,185 words

Of the approximately 260 million people currently
living in the United States of America, every one
of them has a need for effective, affordable and
accessible health care coverage and services.
Within the past thirty to forty years, the scope
and cost of health care coverage and services has
drastically changed, Altering the manner in which
health care was previously managed.There are
several factors that have affected the cost of
healthcare coverage over the past two to three
decades.One of these factors is the introduction
and rapidly increasing enrollment by people in
managed health care insurance plans. Managed
health care insurance plans cans help to alleviate
the rising costs of effective medical coverage.
Another important factor that has affected health
care costs is the invention and use of new medical
technologies. As leading researchers and economic
analysts have discovered there is a distinct and
direct correlatin between advancing medical
technologies and rising health care costs. Medical
innovation has been proven time and again to be an
important determation of health care cost . It
would appear that managed care health insurance
plans which attempt to lower health care costs,
and highly expensive new medical innovations and
procedures are at cross road pulling against one
another in very different directions. Market-level
studies have had found the cost growth of health
care in markets with greater managed care access
to be generally slower than that of non-managed
care health insurance markets.

However, managed
care is unlikely to prevent the share of gross
domestic product spent on healthcare from rising
unless the cost-increasing nature of new medical
technologies changes.Managed care health insurance
plans differ greatly from indemnity
fee-for-service, or FFS insurance plans. Since the
early 1970’s, rapidly growing enrollment in
managed care health insurance plans has
transformed the health insurance market in the
United States. Virtually nonexistent in most
markets three decades ago managed care health
plans covered 63 percent of t he nation’s
employees by 1994. Managed care incorporates a
range of features that allow the insurer greater
influence in the process of medical care . Managed
care plans aggressively bid for lower prices from
physicians and hospitals in an attempt to minimize
the use of health care services by monitoring
providers and changing provider incentives. Health
insurance providers that operate under the
fee-for-service concept grant the consumer alot
more freedom of choice concerning doctors and
treatment programs this would free the consumer of
any feelings of discontent with “interfering”
insurance companies.

! Consumers of indemnity
plans, however pay a price for that freedom like
having to pay drastically higher rates and little
knowledge input on doctors, specialists and nearby
hospitals that will fit their particular needs.
Many of today’s health insurance consumers choose
to place their trust in a managed care insurance
company relying on the expertise of the provider
to support and provide their various medical
treatments and needs. Health maintenance
organizations commonly known as HMOs, have emerged
as the leader of managed care providers. Other
types of managed care plans include preferred
provider organizations, point of service plans and
managed indemnity plans. Most studies focus on
HMOs and do not describe differences in the type
of HMO or the level of management in non-HMO
plans. HMOs have effectively reduced health care
expenditures. A natural assumption would be that
the quality of care would be lowered as insurance
rates go down and remain affordable.

However,
these cost savings have been achieved according to
most evidence without significant reductions in
the quality of care .This suggests that managed
care health insurance plans like-HMOs in
particular tend to reduce inefficiencies in the
health care system in fact, a study that examined
changes in hospital expenses inCalifornia found as
much as a 44 percent slower rate of hospital care
cost growth in markets with high HMO penetration
relativeto markets with low HMO access Their are
two main types of services that managed care
health insurance companies use to categorize and
label their treatments and procedures these
categories are known as complementary services and
substitutive services. These two terms apply to
new innovations in medical technology and the
amount of money spent to provide the technology to
the consumer. Complementary services are those
whose use increases with the use of the new
technology. Complementary services are for the
consumer, who understandably desires the latest
most effective medical technology to treat
themselves -and their loved ones. For example,
suppose an improvement were to made in the field
of x-rays. This improvement could provide clearer,
higher quality images, thus leading to better
surgery outcomes.

The likelihood of a better
surgical outcome may result in more individuals
opting to receive surgical treatment. The
development of this new technology in diagnostic
imaging would no doubt have been highly expensive.
Also, the costs associated with an illness in
which there is an increased need for surgery are
usually quite high. If an innovation leads to
greater use of complementary services,
expenditures rise more than would be predicted by
simply looking at the direct expenditures on the
innovation. In this case x-rays and surgery are
complementary technologies. This example suggests
that the use of complementary services may
increase the costs associated with use of new
innovations by as much as 50 percent. Substitutive
services on the other hand are different in that
they are not provided because of the of new
technologies.

The savings associated with the
avoiding these services offset the costs of the
technological innovations and complementary
services. If the innovation results in improved
health outcomes, substitution away from services
that would have been consumed later may also
happen. It is also hoped that this type of
substitution would accompany most preventive
services and many other innovations that provide a
reduction in morbidity in the long-run.Evidence
suggests that medical innovations has led to
higher expenditures on health care services. It
appears that if the rising cost of health care
that results from technological advances remain
unchecked by managed care, the effect of
technological progress will tend to offset any
cost savings achieved by managed care through
lower prices or lower use of traditional services.
Factors such as population increases, extended
life expectancy and the inflation rate have made
health care costs rise up. However, studies have
proved that important advances in specific areas
of medical technology have had the most intense
effect on health care costs. This finding still
applies when it is considered in managed care
healthinsurance plans to a certain undeniable
extent .

Studies have been conducted during many
times over the course of the past several decades,
focusing on substantial increases in health care
costs in direct correlation to particular medical
procedures and fields. Among these procedures and
fields are child birth, radiation therapy,
coronary bypass surgery, nuclear medicine and
cancer treatments. For example the use of cesarean
sections used during problematic child deliveries
has increased health care costs. The various
medical personnel must all be compensated for
their time and labor, the! anesthesiologists, the
surgeon, the nurses, etc. Also raising health care
costs are fetal monitoring and ultrasound
techniques. In the case of breast and other
cancers, radiation therapy as well as combination
therap ….

Research essay sample on Management Seminar On Managed Health Care And Technology