In Summary...
- Managed care is continuing to gain market share and leveraging
power
- Percent of hospital admissions from managed care continues to
rise
- The priority of managed care organizations is to reduce costs
and utilization of services, while increasing quality
- Managed care creates the opportunity to increase the volume of
admissions to the hospital
- Managed care organizations continue to shift risk toward the
provider
Managed care is becoming a force that can no longer be ignored. In order
to succeed in the new healthcare environment, it will be important for your
hospital to make itself attractive to managed care organizations. Nurses
can play an integral role in designing and implementing key strategies that
will assist their hospitals to emerge a strong viable player in this rapidly
changing managed care environment.
This self-study module is part of the Partnering with USSC program,
designed to assist hospitals to reduce their system-wide costs, preserve
quality and enhance revenue in today's healthcare market. For more information
on Partnering with USSC, please call (800) 336-0263.
Take the online post-study test. Perioperative Nurses can recieve 1.2 Contact
Hours through the Association for Operating Room Nurses.