HEALTH CARE MANAGEMENT SPECIALISTS, EXPERTS WITNESSES & FORENSIC CONSULTANTS.
Managed care is a synonym for PPO, HMO, MCO, and POS. >p> Managed care is a concept in U.S. health care which rose to dominance during the presidency of Ronald Reagan as a means to control Medicare payouts. As a major Medicare claims administrator, the Blue Cross-Blue Shield insurance firm was a major architect of managed care. It spread fairly quickly to the health insurance industry in the private sector.
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More Details:
Managed care is a synonym for PPO, HMO, MCO, and POS.
Managed care is a concept in U.S. health care which rose to dominance during the presidency of Ronald Reagan as a means to control Medicare payouts. As a major Medicare claims administrator, the Blue Cross-Blue Shield insurance firm was a major architect of managed care. It spread fairly quickly to the health insurance industry in the private sector.
Managed care is based on an effort to control escalating health care costs by the health insurance industry, which supposedly defines a reasonable maximum fee which health care providers may charge for any given service. Providers are ostensibly bound to accept these maximum fees if they wish to be listed in directories of specific insurance companies, which are provided to their policy holders as referral directories of "approved" physicians.
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