Discussion Question

1.  Does managed care provide adequate and effective care to patients with chronic illness or do these patients fair better under traditional indemnity plans?

2.  Discuss the advantages and disadvantages of each of these two plans.

Required Readings: 

Mira, J. J., Nuño-Solinís, R., Guilabert-Mora, M., Solas-Gaspar, O., Fernández-Cano, P., González-Mestre, M. A., . . . Río-Cámara, M. d. (2016). Development and validation of an instrument for assessing patient experience of chronic illness care. International Journal of Integrated Care, 16(3) doi:10.5334/ijic.2443

Restorick Roberts, A., Betts Adams, K., & Beckette Warner, C. (2017). Effects of chronic illness on daily life and barriers to self-care for older women: A mixed-methods exploration. Journal of Women & Aging, 29(2), 126-136.

Roberge, P., Hudon, C., Pavilanis, A., Beaulieu, M., Benoit, A., Brouillet, H., . . . Lemieux, M. (2016). A qualitative study of perceived needs and factors associated with the quality of care for common mental disorders in patients with chronic diseases: The perspective of primary care clinicians and patients. BMC Family Practice, 17

Rocker, G., Downar, J., & Morrison, R. S. (2016). Palliative care for chronic illness: Driving change. Canadian Medical Association Journal, 188(17), E493-E498.

Kearns, T., Cornally, N., & Molloy, W. (2017). Patient reported outcome measures of quality of end-of-life care: A systematic review. Maturitas, 96, 16-25. doi:10.1016/j.maturitas.2016.11.004

Medline Plus (2017). Coronary Disease. Retrieved from http://www.nlm.nih.gov/medlineplus/coronarydisease.html

National Committee for Quality Assurance (2017). HEDIS and Quality Management. Retrieved from http://www.ncqa.org/tabid/59/Default.aspx.

Centers for Medicare and Medicaid Services, Department of Health and Human Services, USA. Official Hospital Compare Data https://data.medicare.gov/data/hospital-compare

Medicare.gov. Hospital Compare Quality of Care. https://www.medicare.gov/hospitalcompare/search.html