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How has managed care affected the healthcare professions?

How has managed care affected the healthcare professions?

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Ans) Managed care: Refers to the cost management of health care services by controlling who the consumer sees and how much the service costs.

- Establish relationships with organizations and providers to offer a designated set of services to their members
- Establish criteria for their members to utilize the MCO
- They all establish measures to estimate cost control
- They all provide incentives to encourage health service resources
- They all provide and encourage utilization of programs to improve health status of their enrollees

Managed care plans have arrangements with certain physicians, hospitals and health care providers to serve patients who are plan members at a contracted reduced rate. Managed care plans usually offer a lower premium and require less paperwork. However, the choice of physicians, drugs and treatment are restricted.

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