The concept of managed care and the Health Maintenance Organization (HMO) has been evolving since the early 1970s and has significantly impacted the delivery of health and medical care in the United States.
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- Define managed care and briefly describe the different types of managed care models and key characteristics of an HMO.
- Assess the economic impact of implementing managed care since the introduction of the 1973 HMO Act.
- Explain how consumer and provider incentives work to achieve cost reduction, improved resource allocation, and return on investment (ROI) in a managed care environment.
- Explain the economic impact of alternative provider payment methods on HMO performance.
- Compare and contrast the effects of HMOs with the effects of fee-for-services on resources used and quality of care.
- Distinguish between employer and individual use of information on managed care health plan performance.
- Discuss the rationale and potential implications and consequences of moving from a volume-based to value-based healthcare delivery system.
Include at least 10 current peer reviewed articles in your paper.
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