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Managed Care Compliance

  • Date: February 18, 2011
  • Source: Admin
Abstract:

The term managed care describes a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care for organizations that use those techniques or provide them as services to other organizations, or to describe systems of financing and delivering health care to enrollees organized around managed care techniques and concepts.

States have regulated managed care organizations to ensure their financial solvency, including their ability to cover the risk of enrollees. Nearly all have passed "patient protection" or consumer-oriented laws and/or regulations.

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