Delivery System Disscussion 2

Assignment: What was the intended purpose of the “gatekeeper” system? Based on what
you’ve read, do you believe it has achieved its purpose? Why or why not?
If not, what could be changed that would result in it meeting its
intended goal? Be sure to read and comment upon a few of your fellow
students’ remarks on this subject. Expectations: 1 page, 3 cited sources required reading

Required Reading

Affordable Care Act; findings from Mayo Clinic provide new insights
into Affordable Care Act (expected and unexpected consequences of the
Affordable Care Act: The impact on patients and surgeons—pro and con
arguments). (2016). Managed Care Weekly Digest, 63.

Berenson, R. A., Burton, R. A., & McGrath, M. (2016). Do
Accountable Care Organizations (ACOs) help or hinder primary care
physicians’ ability to deliver high-quality care? Healthcare, 4(3), 155-159.

Hoffman, S. (2015). Managed care, the legal system, and checklist medicine. Brown University Child & Adolescent Behavior Letter, 31(6), 8.

Managed care; researchers at American College of Physicians Report
new data on managed care (preconsultation exchange in the United States:
Use, awareness, and attitudes). (2015). Insurance Weekly News, 171.

National Committee for Quality Assurance (NCQA); NCQA health
insurance plan ratings—valuable tool for consumers. (2015, November 1). Health Insurance Law Weekly, p. 31.

Owen, R., Heller, T., & Bowers, A. (2016). Health services
appraisal and the transition to Medicaid Managed Care from fee for
service. Disability and Health Journal, 9(2). 239-247

Sonderling, H. (2015, September 16). ValueWalk: Could managed care
companies help offset rising healthcare costs? [Web log post]. Newstex Global Business Blogs. Chatham: Newstex.

Waitzkin, H., & Hellander, I. (2016). Obamacare: The neoliberal
model comes home to roost in the United States—if we let it. Monthly Review, 68(1), 1-18.

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