Issues that Patients Complain about in Regards to Managed Care Essay

Issues that Patients Complain about in Regards to Managed Care - Essay ExampleThe patients generally, do not view gatekeeping as favorable and complain that its existent purpose is not to improve the quality of care but to reduce costs that managed care institution incur for providing specialized services to patients (Estes, Rodriguez, 2003, p.383).The providers working in managed care networks see more patients in a day than other providers. Thus, patients complain that they face huge delays before they are able to see the doctors (Woodard, 2000). other concern is the volume of documentation. Multiple pages of forms are required to be filled in by patients detail personal information. Patients are concerned about access controls to this documentation (Holmes, L., n.d.).Consolidated Omnibus Budget Reconsolidation make out (COBRA) was passed by United States government in 1986. It is an amendment to the Employee Retirement Income warrantor Act (ERISA), the Internal R purgeue Code , and the cosmos Health Service Act (US Department of Labor, 2006).COBRA states that employees, who would otherwise lose their chemical group health insurance coverage receivable to certain events, would still be able to continue their health coverage. Prior to COBRA, the health care coverage was allowed only up to the time the employee remained in service. In order to be eligible for COBRA continuation coverage, hobby three requirements must be metCOBRA is applicable to both private sector and government employers offering group health care plans. But as per the Acts requirements, the company size should be at least 20 employees (including permanent and temporary employees both) on 50% or more business days during the previous year. change EventsQualifying event refers to the occurrence of an incident that causes the employee to lose the group health plan. The COBRA continuation coverage takes into account the type of qualifying event in determining the beneficiary for conti nued coverage and the minimum aloofness of the time the coverage should be continued. Following are the qualifying events for employeeLoss of jobs for reasons other than gross spoilReduction in job hoursSimilarly, other qualifying events have been defined by the Act for partner and or dependents.Qualified BeneficiariesThis defines the beneficiary who can remain a beneficiary of the health plan even after the qualifying event has occurred. COBRA specifies who can become qualified beneficiary and under what circumstances. 2.Employee Retirement Income Security Act Employee Retirement Income Security Act (ERISA) was passed in 1974 and provides a comprehensive federal scheme for the standard of employee pension and welfare welfare plans offered by employers (Purcell, Staman, 2008).Although ERISA regulates the operations of a pension plan and health benefit plan but it does not mandate employers to provide these plans to their employees. There are four main separate of ERISA. These in cludeProtection of employee benefit rightsThis section requires employers to provide employees with the details of their benefit plans and protects employee benefit rights by disallowing health plan to invest more than 10% in employers securities.Internal revenue code provisions most amendments were made in the Internal Revenue Code (IRC). The detail of amendments is beyond the scope of this paper.Jurisdiction, administration, and enforcementThis section