Managed Care Organizations (MCO)

Managed Care Organizations (MCOs) are health care companies that coordinate and provide medical services to members through a network of doctors, hospitals, and other providers. They aim to deliver cost-efficient, quality care by managing how and where care is received, often requiring members to choose from a specific network. MCOs focus on preventive care to avoid more serious health issues later, controlling costs while maintaining care quality. They typically operate through plans like Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs), balancing affordability with access and comprehensive healthcare management.