Question The practice of medicine, long valued for individual entrepreneurship and physician control, has undergone dramatic change. Physicians now face vexing oversight of case and utilization management and loss of control over the allocation of health care dollars. Managed care organizations control health costs by arbitrarily refusing reimbursement for certain medical procedures and reducing payments for others.

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Physicians used to have enormous control over healthcare systems and the trust of patients across the globe. With little opposition from stakeholders, they had a bigger role in establishing rates for health services. It was a rewarding profession, and it was the greatest choice for a high-achieving person with an entrepreneurial spirit. The Health Maintenance Organization (HMO) Act was enacted into law by Congress in 1973. The law made it possible for HMOs to be formed to provide higher-quality healthcare services at reduced costs (Barro & Chu, 2017). HMOs, including managed care organizations, have more flexibility and may change service fees to keep clients or even deny coverage for particular medical treatments.
Physicians are losing control of their profession at an accelerating rate, rendering medicine a less appealing profession. The usage of electronic records in healthcare is increasing, reducing physicians’ control even further. Physicians are becoming mediators due to artificial intelligence, advising technology-dependent healthcare corporations on how to satisfy patient needs (Barro & Chu, 2017). What are the outcomes? Very few high-performing people are interested in becoming physicians. According to the Association of American Medical Colleges, people are progressively gravitating toward occupations in science, technology, engineering, and mathematics (STEM). As a result, it is estimated that by 2030, the United States would have a physician shortfall of roughly 105,000. The capacity of Managed care organizations to accomplish the goal of delivering quality care will be compromised if the number of doctors is reduced (Mitka, 2018). As a result, the ultimate implication will be a decrease in the quality of care.
 
References
Barro, J., & Chu, M. (2017). HMO penetration, ownership status, and the rise of hospital advertising. National Bureau of Economic Research.
Mitka, M. (2018). Looming Shortage of Physicians Raises Concerns about Access to Care. JAMA, 297(10), 1045.

 

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