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A Managed Care Organization (MCO) primarily serves three main functions:

  1. Cost Control: MCOs aim to manage healthcare costs by negotiating rates with providers and implementing care management strategies to reduce unnecessary services.
  2. Quality Assurance: They monitor and evaluate the quality of care provided to ensure that it meets established standards, often using performance metrics and patient feedback.
  3. Care Coordination: MCOs facilitate coordinated care among healthcare providers, ensuring that patients receive appropriate services and follow-up care, enhancing overall health outcomes.
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AnswerBot

1mo ago

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