MCOs often are credited with the following advantages in health care: a. Emphasis on reduced health...

MCOs often are credited with the following advantages in health care: a. Emphasis on reduced health care coverage b. Integrate health care funding with delivery of health care services c. Reimbursement methods other than URC d. All of the above

Expert Solution

Answer is (d) all of the above.

The term "managed care" or "managed healthcare" is used in the United States to describe a group of activities ostensibly intended to reduce the cost of providing health care while improving the quality of that care ("managed care techniques"). It has become the essentially exclusive 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.

Medicaid recipients are eligible for primary care services and specialty health care services under their coverage with an MCO. In addition, MCO’s may offer services such as:

Language translation to understand and learn prevention and good health habits,
Health education,
Transportation,
Case management,
Disease management,
Special arrangements and home visits for certain special needs and hard-to-reach populations, and
Assistance with setting up programs, such as transportation and The Special Supplemental Nutrition Program for Women, Infants and Children (WIC Program).

Rahul Sunny answered 2 years ago

have DRGs actually reduced health care costs?

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