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https://www.medicaid.gov/medicaid/managed-care/index.html
Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.
https://www.ncbi.nlm.nih.gov/books/NBK221227/
This chapter addresses the issues of access, managing chronic disease, neglected health care services (i.e., clinical preventive services, oral, and mental health care and substance abuse services), and the capacity of the health care delivery system to better serve the population in terms of cultural competence, quality, the workforce, financing, information technology, and emergency ...
https://casemanagementstudyguide.com/ccm-knowledge-domains/healthcare-reimbursement/managed-care-concepts-and-rules-for-reimbursement/
Managed Care: A system of healthcare delivery that aims to provide a generalized structure and focus when managing the use, access, cost, quality, and effectiveness of healthcare services.Links the patient to provider services. Health Maintenance Organization: An organization that provides or arranges for coverage of designated health services needed by plan members for a fixed prepaid premium.
https://hhs.texas.gov/sites/default/files/documents/laws-regulations/reports-presentations/2017/medicaid-chip-perspective-11th-edition/11th-edition-chapter11.pdf
Chapter 11 Fee-for-Service and Managed Care 11 or her physical and mental health conditions and co-morbidities. Under the provider practice and delivery system design approach, medical home providers take an active role in helping their patients make informed health care decisions. Lastly, the foundation for the success of the
https://samples.jblearning.com/0763763802/63800_CH01_Final.pdf
delivery system in the United States today and is available to most Americans (for more details on managed care, please refer to Chapter 9). The employer or government is the primary financier of the managed care system. Instead of purchasing coverage from a traditional insurance company, the financier contracts with a managed care organization ...File Size: 1MB
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