Managed Care Plans

 

Before signing a repurchase agreement all agreements that will be agreed upon

The Managed Care Package usually has one listed in the insurance.This categorize of insurance program focuses on the benefits of efficiency and effectiveness of providing health insurance program that employee received in the company.

The functional, Manage Care Plans are a health insurance program that operational collection focuses on the various efforts for the prevention of disease (prevention efforts) in a self-employee company and controlling costs.
In concrete, insurance companies periodically conduct disease prevention program socialization, especially during disease outbreaks or a particular such as bird flu. This program will provides restrictions to the employee in obtaining health insurance benefits of each, for example in the treatment and visits by doctors and hospitals.

Benefits for Employees

In practice, life insurance companies run the health services to the employees of the company or life insurance companies can work with management agencies to provide health insurance for employees.

In practice, life insurance companies and managers will establish cooperation with several hospitals, clinics, physician practices, and health services as other providers of health services in the location and the area where the employees live or work.

Providers of health services will have a work contract with the insurance company to make appropriate health service guidelines and restrictions provided by life insurance companies and / or manager.

By using the methods and mechanisms, the insurance company will conduct inspections and controls on a regular basis with the implementation of the health services provided by health service providers. This step to ensure that they have appropriate health service standards and guidelines that have been determined.

In another form, the Manage Care Plans can also be carried out by transferring part of the cost of health risks through a particular system to providers of health services. Mechanisms such as this with a kapitasi.Penyelenggara health services will receive a payment with a fixed amount for each employee per month.



Limitation of the number of payments that remain, such as this provide compensation for hospitals, clinics, physician practices or as certainty over the number of patient visits or in the contract period. Is essential, a variety of guidelines, mechanisms, and management of Manage Care Plans aim to maintain the level of health services in the extent desired by the company through the life insurance companies.

Certainly, the interests of employees to get effective treatment accommodates inside. Therefore, the accumulation amount of the premium must be paid by the company sponsoring the program in the Manage Care Plans for each employee can be cheaper when compared with the health programs for groups based Indemnity Plans, the program seems Manage Care Plans to operate the first time as a simple in 1910. This program is the first time by Hospital Western Clinic in Tacoma, Washington, United States.

The hospital provides health services for employees with health care services company that has been determined that the amount of premium USD0, 50 per person each month. If the scheme Indemnity Plans provide to every employee the freedom to determine the choice of hospitals or doctors who treat them, Manage Care Plans program does not accommodate this.

Generally, program Manage Care Plans activities focus on operational management control, especially in the aspects of cost. In addition, Manage Care Plans also focus on various efforts for the prevention of disease (prevention efforts) in a self-employee company.