Managed Care and Hospitals

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HSM 420: Managed Care and Health Insurance Managed care plans are those plans contracted to hospital, facilities or healthcare providers. The providers associated with the contracts are the make up of the plans network. (NIH 2010). Managed care concerns quality of care it is important to note how patients experience this setting. Within the quality of care spectrum which sorts of organizational changes can be made to improve the patient’s experience. Types of Services The University of Maryland Medical Center Surgical Clinic operates under the Ambulatory Care setting, offering various specialities. The Surgical Clinic offers Urology, Plastic Surgery, Neurosurgery as well as Otolaryngology. The Clinic is ran by a group of residents with an attending overseer. Patients who seek urologic care, the clinic is held once a week patients needing non invasive medical procedures are pleased to find they are completed there in the clinic. Procedures include Cystoscopy, Lithotripsy, Circumcision, Prostate Biopsies and Vasectomies but are not limited to the clinic offers treatment such as BCG and Mitomycin for Bladder Cancer and female urologist for treatment in Bladder Prolapse. Preventative care offered from the Urology team includes an annual free Prostate screening and Prostate awareness in the month of September. The Physicians set up a treatment plan and educational plan for each patient seen. The Plastic Surgery clinic offers post op visits, emergency department discharges and Primary care referrals once a week. This clinic is based on medical diagnosis, patients complaints are on a wide spectrum and can include breast reduction, fractured mandible, lacerations and keloids. Preventative care in this clinic includes education on the injury. Breast reduction patients are often educated on weight management. Procedures in this clinic are offered in the

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