Question

What are some of the areas and issues that MCOs try to control? How effective do you feel the MCOs in your own area have been in these efforts?

Answer 1

1. In the healthcare MCO's plays pivotal role in the implementation of managed care.

2. It manages the delivery system on behalf of payer by delivering essential health care services on cist of payer can afford.

3. MCO serve as a conduit through which all funds are channelled.

4. MCO organized the supplier network imposes rules on its operation and serves as a service system of physical intermediary.

5. MCO receive the fixed amount of money from payer improve system wide productivity.

6. MCO contract with group of panel in health care.

7. MCO ultimately focus on lowest price in healthcare management.

8. It has better control over the quality of medications.

9. It has control over the hospital covers non emergency surgery.

10. It focus on quality care in diagnosis and investigation strategy.

11. It could ordinates the all referral services.

12. It manages the health care insurance.

13.