Managed Care Essay Example | Topics and Well Written Essays - 500 words - 3

Managed Care - Essay Example Accreditation is the significant process that Managed Care Organizations (MCOs) need to pass in order to prove their credibility and quality. Both, service providers and customers consider the certification as highly important because it indicates that an organization has attained the standard of quality defined by the accrediting agency. The major Accrediting Agencies in the United States are ABQAURP, NCQA & HEDIS, The Joint Commission, AAAHC & AAAASF and URAC. Although the criteria for accreditation vary depending on the type of Managed Care Organizations and the accrediting agency, there are certain common factors that are applicable in the review. The Agencies usually consider the â€Å"MCO’s quality management program and its impact on operations, at utilization management and how it is carried out, at the MCO’s treatment of members and so forth.† (Kongstvedt., 2003 p. 239). TRICARE is a managed care option of Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) initiated by Department of Defense (DOD). The service has been delivered through its worldwide Military Health Service System (MHSS). DOD provides Tricare civilian health benefits for military personnel, military retirees, and their dependents through its 11 health service regions. It has also established a new administrative structure to supervise the delivery of health care. (Kongstvedt, 2003 p.1131). Tricare Standard (Fee for Service Program), Tricare Extra (Preferred Provider Option), Tricare Prime (HMO Option), US Family Health Plan, and Tricare Reserve Select (TRS) are some of the major plans of Tricare. As compared to other managed care services in the United States, Tricare offers more steady high quality health care benefits and reduced costs. Tricare service is accessible according to the priority of the beneficiaries as follows; active duty members, family members o f the active prime members, retirees and their family members, family

Opinion paper Essay Example | Topics and Well Written Essays - 500 words

Opinion paper - Essay Example In fact, my town citizens were painting on the floor when I visited the area; thus, I saw the art form in a different way that day. It made me realize that even this form of art is a possibility which is amazing yet practical. I am sure that the people would have done their homework and decided on what they wanted to project with this floor painting. They perhaps view that art could be done anywhere, without any restrictions at all so they decided to make the floor a canvas. Truly, the colors scattered on the floor were vivid and impressive all the more increasing my admiration for this kind of art. I felt good witnessing this new art being done right before my eyes. Suddenly, I wanted to take part in the activity so I asked one of the painters what he was painting. He told me that they were painting mother earth, with the figures of planet and the earth in relation with one another. Like I, the people gathered there watching the event also felt curious about the whole process of floor painting. In fact, I asked many questions from the people who were present there. The artists were trying their best to paint earth and its different colors. They were using the blue color for the water which is abundant in our planet. As for the continents, other colors like brown, green, red, and orange were used. This made the variety of colors spread on the floor look very astounding. Also, I learned that applying paint on plywood floors is easy and the results are great. When the person trying to paint something in the floor or in any place, he is trying to explain his emotion and deliver it to the people who is watching him.It was pure joy to see such creati on. This activity was very enthralling in the sense that it made all of us feel happy and merry seeing the swirling colors that were spread all around the floor. Because of this, you could feel positive enthusiasm within the people. It reflected their interest and passion in the