N 502- Module 1 - Jun

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Aspen University *

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502

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Medicine

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Jun 3, 2024

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docx

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2

Uploaded by amyrnws2005

1 N 502: Module 1 This week’s discussion question is complex in many ways. They are how long managed care organizations have existed, the United States' current physician shortage, and lastly that the number of physicians is rising, just that that number is not rising at a fast enough pace. The most pressing issue with the physician shortage is not just the existence of managed care organization oversight. Managed care organizations began in the late 19 th century when a group of physicians began giving prepaid care to various association workers (Chung & Mullner, 2016) and MCOs still exist throughout the United States. The healthcare field has lost most of its attractiveness to high-performing individuals seeking to become a physician partly due to the overwhelming and daunting task of becoming a licensed physician. With a limited number of candidates available to enter the field each year, residency, and specialty fellowships it can take up to a decade of education and training before a medical student will become licensed and begin practicing in their field. Let alone begin to reap the monetary benefits of becoming a physician. While the time dedicated to becoming a physician is overwhelming to a majority of individuals, there are still many highly motivated individuals that seek to fulfill their dream of becoming a physician of some caliber. This can be seen in academic health centers throughout the United States. Academic medical centers are the foundational building blocks of the healthcare system(Young & Sultz, 2017). Academic medical centers are major contributors to educating, and training future physicians, contributing to research, and contributing to healthcare advances (Young & Sultz, 2017). There are many ways these centers can benefit from partnering with a managed care organization. Managed care organizations recognize that they have an obligation to promote public health by promoting and
2 participating in the education and training of medical students and resident physicians (Nash & Veloski, 1998). On the other hand, many would argue that managed care organizations have set limits on costs of care, reimbursing providers, and implemented pay-for-performance models causing providers to not only lose autonomy over their patient care practice but also lose passion for their careers. This allows the opportunity for some to enter into medical school that otherwise may not have been selected, because high-performing individuals no longer wish to participate in expensive, time-consuming degrees. In the long run patient care will suffer all across the board, not just in rural areas that lack primary care physicians but in urban areas as well. This will cause patients to wait to seek care at the last minute due to the accessibility of top-performing academic medical centers. This will be detrimental to all medical advances made over the last century. References Chung, K., & Mullner, R. M. (2016). Managed health care. In. Encyclopedia Britannica . Nash, D. B., & Veloski, J. J. (1998). Emerging opportunities for educational partnerships between managed care organizations and academic health centers. The Western Journal of Medicine , 168 (5), 319–27. https://pubmed.ncbi.nlm.nih.gov/9614788/ Young, K. A., & Sultz, H. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett .
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