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BHS 450 Health Care Delivery Systems

Managed care has contributed to the transformation of health care delivery across the nation. While managed care originated in the United States, its delivery style has spread internationally. Managed care can be discussed in two different contexts. The first framework describes an approach to health care delivery and is described as the integration of the financing, insurance, delivery, and payment functions within an organizational setting (Shi and Singh, 2019, p. 4). The second term could refer to a physical Managed Care Organization (MCO) which could be different settings (Shi and Singh, 2019, p. 361). The Affordable Care Act (ACA) of 2010, a health care reform initiative, is enriched with managed care strategies. Modern managed care systems also rely on health information technology, data analytics, and digital health tools to manage care coordination and utilization. After reading the background information, conduct additional research and respond to the following questions.

Case Assignment

Use what you learned from the module’s required readings and your own research to answer the following questions in your paper.

  1. What is managed care and how did it evolve?
  2. Discuss the current state of managed care in the U. S. Health system. Describe two efficiencies and two inefficiencies in managed care.
  3. Why is it important for policy makers and health care managers to understand the intricacies of the health care delivery system?
  4. Explain how health care technology supports modern managed care systems.

Length: Submit a 3- to 4-page paper, not including the cover page and the reference list.