Managed Care Organizations

Managed Care Organizations (MCOs) are health care systems designed to manage costs, utilization, and quality of care. They provide a network of doctors, hospitals, and other providers that patients can access, often requiring them to select a primary care physician. MCOs negotiate prices with providers and promote preventive care to reduce overall costs. Members typically pay lower out-of-pocket expenses when using in-network services, encouraging them to receive care through the organization’s network rather than seeking services independently. Overall, MCOs aim to provide efficient and cost-effective health care to their members.