Manage Care Plans

1-2 Paragraphs for each question & please use APA citations ONLY.

Q1:Kongstvedt (2013) states that “the backbone of any managed care plan is the provider network, consisting of contracted physicians, hospitals and health systems…” In your own words, explain contracting approaches for physicians and hospitals under managed care plans. Remember, if you use additional sources, be sure to cite and reference your posts.

Q2: Many states have passed rules and regulations that provide protection of the sort envisioned in Patient Bill of Rights. The Patient Bill of Rights and Responsibilities was adopted by the US Advisory Commission on Consumer Protection and Quality in the Health Care Industry in 1998 which is a list of guarantees for those receiving medical care, such as fair treatment and autonomy over medical decisions. As I mentioned before, laws vary by state but include such mandates such as gag clauses (which prevent physicians from telling patients about all possible treatment options), a ban of pre-authorization requirements for ER care, and the creation of independent grievance panels to settle disputes between patients and HMO’s. Do you feel legislative involvement hinders the ability of doctors to provide quality medical care? Or, do the laws and regulations keep doctors from providing substandard care to some patients?