Thank you so much for simplifying that! I read the paragraph from AAPC CPB course over and over and over and could not comprehend what a MCO was. Thank you Thank you!
The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care ("managed care techniques"). It has become the predominant system of delivering and receiving American health care since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010. "... intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations." The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973. While managed care techniques were pioneered by health maintenance organizations, they are now used by a variety of private health benefit programs. Managed care is now nearly ubiquitous in the U.S., but has attracted controversy because it has had mixed results in its overall goal of controlling medical costs. Proponents and critics are also sharply divided on managed care's overall impact on U.S. health care delivery, which ranks among the best in terms of quality but among the worst with regard to access, efficiency, and equity in the developed world.
I do have my subtitles turned on, however, there are times that RUclips is unable to translate what I am saying as they are auto-generated. I apologize for this, but thank you for watching!
Incredibly thorough yet efficient information. Great clear voice and English for easy understanding!
Thank you so much for simplifying that! I read the paragraph from AAPC CPB course over and over and over and could not comprehend what a MCO was. Thank you Thank you!
Glad it was helpful! Thank you for watching as well.
The clarity of information is as bright as each day. Well said, complete, detailed as well as descriptive that sums up the whole needed information as what Manage Care organization is designed, as attested by private and public sectors offices, hospitals, clinics, as well as needed requirements for prior authorization, application of coverage, TAXES registrations, and INVENTORIES reports of the sectors regarding enrollments, coverage on each plan, medication, administration, exceptions and reason, and Authorization codes and dispensing limits based on Tierage, status, reviews, and approvals, state, county, franchisees/Licensee Holders offices/Brands®™© Hospitals, Clinics, LTC Facilities and Patient control, administration, parameters, registrations, security standards, per HIPAA Laws, E-Commerce Laws, Standards of excellence/compliant. *****IMPORTANT******Thank you Tierage.
Thank you!
The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care ("managed care techniques").
It has become the predominant system of delivering and receiving American health care since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010.
"... intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations."
The growth of managed care in the U.S. was spurred by the enactment of the Health Maintenance Organization Act of 1973.
While managed care techniques were pioneered by health maintenance organizations, they are now used by a variety of private health benefit programs.
Managed care is now nearly ubiquitous in the U.S., but has attracted controversy because it has had mixed results in its overall goal of controlling medical costs.
Proponents and critics are also sharply divided on managed care's overall impact on U.S. health care delivery, which ranks among the best in terms of quality but among the worst with regard to access, efficiency, and equity in the developed world.
Thank you for watching
What is the difference between a payer and an mco then
An MCO is a managed care organization, and it is a type of insurance/payor
Thank you for clarifying, it is a useful information.
Glad it was helpful! Thanks for watching!
This is amazing information
I’m happy to hear you find it helpful! Thank you for watching!
What an Explanation 👏👏
Thank you so much! I appreciate you watching.
Thank u ma'am ❣️
Most welcome 😊 Thank you for the support.
Please add a subtitle mam 🙏
I do have my subtitles turned on, however, there are times that RUclips is unable to translate what I am saying as they are auto-generated. I apologize for this, but thank you for watching!