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Managed Care Organizations and Integrated Health Care Networks

“Managed Care is a health care delivery system organized to manage cost, utilization, and quality. Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.” (Medicaid, n.d) This system is to help insure that all challenges are taken care of, so that a patient can receive┬áthe care they need. In the video “Do We Know What Know What Our Future Holds?” It explains that it all starts with the primary care and the patients experience. In the patients time at the hospital the main focus is the primary care and interventions for the patient, but the experience for this patient is just as important. by having these various MCOs, the Medicaid┬áprogram is getting more efficient with their level of health care while reducing the cost.

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