Topic > Managed Care Organizations - 584

Managed Care Organization A managed care organization is a collection of clinics, doctors, hospitals, pharmacies, and other healthcare providers that come together to provide healthcare to people who sign up for services . In many cases, managed care organizations operate and are referred to as healthcare provider networks. Managed care organizations are made up of healthcare experts from different fields who enter into an agreement to offer healthcare services to members. Once a member enrolls, all of their health care needs are covered by managed care organizations. Access to care outside the organization is limited. Members of managed care organizations are usually assigned a primary care physician (PCP) who is the primary care physician for the member. The PCP is responsible for analyzing a member's health problem before referring them to other sections of the managed care organization. Managed care organizations are generally well coordinated to meet the needs of members who have registered under their banner. Managed care organizations are created on the basis...