Managed Care Law

Managed Care Law refers to regulations governing health insurance plans that coordinate and deliver healthcare services to members. These laws are designed to ensure that managed care organizations, like Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs), provide accessible, quality care while controlling costs. They set standards for patient rights, provider networks, and procedures for grievances and appeals. The aim is to balance the needs of patients with the financial constraints of providing healthcare, promoting efficient service while safeguarding consumer protections.