YOU ASK:

What is the definition of Managed Care?

WE ANSWER:

Managed Care refers to the techniques or methods used to ensure that the proper healthcare is provided to the insured at the best prices.

This involves an arrangement where the insurance company or employer works with a group of selected doctors and medical providers. These providers agree to treat the insured clients or employees following pre-set protocols and procedures. These medical practice guidelines ensure that the services provided is cost effective.

Members of this type of plan are expected to acquire treatment with the list of selected healthcare providers. However, there are also some managed care plans that let the members use other providers that do not belong to the list of selected providers.

The providers and the services they provide are also regularly reviewed to make sure that these are the reasonable. Then the providers are paid for the total services they provide.

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