Managed Care Analysis
Health Care Analysis
Today, many Americans are affected by health care decisions made without their prior knowledge. More than likely most Americans are unsure how those decisions are decided and who is responsible for making those decisions that ultimately affect how health care is administered (Kongstvedt, 2016). The Department of Health and Human Services (HHS) is the United States government’s principal agency for protecting the health of all Americans and for providing essential human services, especially to those who are unable to help themselves. Health care in the United States has been an ongoing dispute and a major concern to all involved from the provider to the consumer. The Managed Care Answer Guide is designed to help people …show more content…
(n.d.). Retrieved January 13, 2017). As a consumer, the thought to examine these areas has rarely come to mind. Examining my policies with the Veterans Administration and Blue Cross Blue Shield of Georgia one would naturally assume that these areas are meeting my health care needs. As a consumer, often health care has not been an issue yet there have been questions raised of why am I paying out of pocket for certain services. The Managed Care Answer Guide has enlightened and given more concern for the issues most Americans face when looking for adequate health …show more content…
Tow out of pocket expenses to consider are prescription drugs and the cost of out of network providers. The Veterans Administration provides services based upon income on a sliding scale. Currently prescriptions are provided to me at no cost however Blue Cross Blue Shield there is a four dollar co pay and the policy has different tier levels. There is no premium per say at the Veterans Administration however there is a sixty-dollar premium for Blue Cross Blue Shield. Blue Cross Blue Shield also has different copayments per services being provided such as doctor’s visits, lab services, and x-ray’s just to name a few. Theses services and payment also depend on whether they are performed in network or out of network (Blue Cross Blue Shield of Georgia. (n.d.). Retrieved January 11,
Today, many Americans are affected by health care decisions made without their prior knowledge. More than likely most Americans are unsure how those decisions are decided and who is responsible for making those decisions that ultimately affect how health care is administered (Kongstvedt, 2016). The Department of Health and Human Services (HHS) is the United States government’s principal agency for protecting the health of all Americans and for providing essential human services, especially to those who are unable to help themselves. Health care in the United States has been an ongoing dispute and a major concern to all involved from the provider to the consumer. The Managed Care Answer Guide is designed to help people …show more content…
(n.d.). Retrieved January 13, 2017). As a consumer, the thought to examine these areas has rarely come to mind. Examining my policies with the Veterans Administration and Blue Cross Blue Shield of Georgia one would naturally assume that these areas are meeting my health care needs. As a consumer, often health care has not been an issue yet there have been questions raised of why am I paying out of pocket for certain services. The Managed Care Answer Guide has enlightened and given more concern for the issues most Americans face when looking for adequate health …show more content…
Tow out of pocket expenses to consider are prescription drugs and the cost of out of network providers. The Veterans Administration provides services based upon income on a sliding scale. Currently prescriptions are provided to me at no cost however Blue Cross Blue Shield there is a four dollar co pay and the policy has different tier levels. There is no premium per say at the Veterans Administration however there is a sixty-dollar premium for Blue Cross Blue Shield. Blue Cross Blue Shield also has different copayments per services being provided such as doctor’s visits, lab services, and x-ray’s just to name a few. Theses services and payment also depend on whether they are performed in network or out of network (Blue Cross Blue Shield of Georgia. (n.d.). Retrieved January 11,