Managed Care is defined as:

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Multiple Choice

Managed Care is defined as:

Managed care organizes care through plans that actively oversee costs and utilization while aiming to maintain quality. The defining idea is that these plans are designed to control costs, using tools such as network-based provider arrangements, gatekeeping and referrals, preauthorization for certain services, utilization review, and payment arrangements like capitation. This approach contrasts with fee-for-service models where costs can rise with more services; through managed care, cost containment is balanced with access and quality. It’s not about hospital-only systems, not about increasing patient costs, and not about being an international NGO, so the description of plans specifically designed to control costs best captures what managed care is trying to do.

Managed care organizes care through plans that actively oversee costs and utilization while aiming to maintain quality. The defining idea is that these plans are designed to control costs, using tools such as network-based provider arrangements, gatekeeping and referrals, preauthorization for certain services, utilization review, and payment arrangements like capitation. This approach contrasts with fee-for-service models where costs can rise with more services; through managed care, cost containment is balanced with access and quality. It’s not about hospital-only systems, not about increasing patient costs, and not about being an international NGO, so the description of plans specifically designed to control costs best captures what managed care is trying to do.

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