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Doctor insights on: Pros And Cons Of Managed Care

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What does "managed care" mean?

See below: Managed care is hmo so you are assigned a group of practitioner and your care is managed by your primary physician and you need authorization for most of your care. It was created as a way to maintain cost and have coordinated managed care. ...Read more

Dr. Brad Goldenberg
28 doctors shared insights

Managed Care (Definition)

Managed care is a system of health care management that is intended to reduce inappropriate and/or unnecessary health care expenditures by aligning economic incentives for both practitioners and patients so that both understand their options and select care that provides optimal value. "value" is a relationship of perceived and objectively measured ...Read more


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What's a managed care plan these days?

MANY: There are many managed care plans, in New York some examples are Emblem Health, Healthfirst, Amerigroup and Affinity Health Plan. ...Read more

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I need help understanding managed care?

Each vary: Managed care is a health care system that manages patient's health care to control costs. Usually they rely on the primary care physician as a gatekeeper to control access to other services. Each managed care system as different rules. ...Read more

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Please help me understand managed care?

Each vary: Managed care is a health care system that manages patient's health care to control costs. Usually they rely on the primary care physician as a gatekeeper to control access to other services. Each managed care system as different rules. ...Read more

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What's managed care and why was it invented?

Freedom: Managed care is hmo so you are assigned a group of practitioner and your care is managed by your primary physician and you need authorization for most of your care. It was created as a way to maintain cost and have coordinated managed care. ...Read more

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I need some help understanding managed care plans?

Comparison: Ask for comparison chart of benefits and exclusions. Most important is knowing the practitioners who participate and the hospitals they are contracted with. ...Read more

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What is the definition or description of: managed care?

What is the definition or description of: managed care?

Cost/Quality/Access: Managed care is a system of health care management that is intended to reduce inappropriate and/or unnecessary health care expenditures by aligning economic incentives for both practitioners and patients so that both understand their options and select care that provides optimal value. "value" is a relationship of perceived and objectively measured quality, cost-effectiveness and caring. ...Read more

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Is medicare considered a type of managed care?

Is medicare considered a type of managed care?

It can be.: It can be if you opt into an HMO, those plans are Medicare managed-care plans. Or, you have the option of just keeping the traditional Medicare plan which is not governed by managed-care. ...Read more

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What's the difference between managed care and medicare?

Restrictions.: Essentially when you "give up" your tradionalmedicare and opt into a manged care plan you are trading "restictions" for money. So, you may not have to worry about paying a deductible in a managed care plan but now you are restricted to the insurance netwwork panel of doctors. You may have to get referrals before being allowed to see certain doctors, and authorizations before procedures. ...Read more

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What is the difference between managed care and medicare at 70?

What is the difference between managed care and medicare at 70?

Freedom: Managed care is hmo so you are assigned a group of practitioner and your care is managed by your primary physician and you need authorization for most of your care. Medicare does not have that restriction ao you are free to go to any practitioner of your choice. ...Read more