Please conduct research and prepare a response that responds to or discusses the following:

1. Managed care philosophy and initiatives directed at prevention and health maintenance
2. The nature of the problem of vaccinations and access to vaccines relative to prevention and health maintenance
3. The steps taken to improve quality
4. What works and what does not
5. Your recommendations for further or continued improvements.

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1. Managed care philosophy and initiatives directed at prevention and health maintenance

What is managed health care? It’s a system that controls the financing and delivery of health services to members who are enrolled in a specific type of healthcare plan. The goals of managed health care are to ensure that (a) providers deliver high-quality care in an environment that manages or controls costs, (b) the care delivered is medically necessary and appropriate for the patient’s condition., (c) care is rendered by the most appropriate provider., and (d) care is rendered in the most appropriate, least-restrictive setting (Spivey, 1997, http://research.unc.edu/endeavors/win97/dial.html)..

The three major types of managed care plans are as follows, with each of these systems have distinctive features or characteristics (see extra information at the end of this response).

? Health Maintenance Organizations (HMO)
? Preferred Provider Organizations (PPO)
? Point-of-Service (POS) plans (Spivey, 1997, http://research.unc.edu/endeavors/win97/dial.html).

Managed care philosophy and initiatives directed at prevention and health maintenance within the managed health care, such as in a HMO is this:

“The hmo was designed to emphasize maintaining health rather than performing the expensive, acute interventions that generally characterize health care. The theory is that an hmo is paid a certain amount of money per patient per month to take responsibility for keeping the person healthy, so the organization has financial incentives to screen for disease and prevent costly illnesses or injuries. For example, if a patient has the potential for cardiovascular problems because of his genetic makeup or health history……….

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