Running head : SummaryNameInstitutionInstructorCourse codeSummaryAccording to the author of the first article , proponents of managed assist argue that this could issue cost without sacrificing the quality However amplification impairment for health billing have lead to wish into question of this managed care claim . Free-for-service where patients could choose which physician to deal them maculation the general agent could pay the service lead to many an(prenominal) consumers existence lackadaisical about the cost as the insurer later all paid the health care providers . incentive to resign unnecessary care or shop for the vanquish price ceased to exist among consumers . This is what economist referred to as moral opportunity . The salary for service also induced health care providers to put more rather than less (Gorin 2003In 1973 , the congress enacted mandate whose main aim was stimulate development of prepaid plans . Nixon brass instrument referred this as Health Maintenance Organization (H .M .O .

Although this plans designed to be non acquire , it was gradually extended to profit entities during Nixon administration . Ronald Reagan helped in change of the HMOs from the open-ended financing of fee-for-service to managed care . Other maintain noise included laws that prevented insurers from entering into `selective agreements with providers . This lead to insurers organizing networks of ` favourite(a) providers so as to reduce risks associated with the managed care . Thus many health c are providers had to impose mechanisms such ! as review article and gatekeeping so as to eliminate inappropriate care and reduce costs (Gorin 2003Extension of managed care to profit...If you want to get a estimable essay, drift it on our website:
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