Managed Care Organization; any insurance or organization that restricts use of health care resources by a patient, i.e., a patient cannot use unlimited discretion in obtaining care. This includes HMOs and PPOs.
managed care organization. An entity that combines the financing and delivery of health care into one organization, such as a Health Maintenance Organization or Preferred Provider Organization.
A general term used to describe health care organizations that manage the quality, utilization, and cost of health care delivery. This term is usually applied to HMO, PPO, POS, and PSO entities.
Managed Care Organization - Often refers to a specific TennCare plan provider
Managed Care Organization. An entity that provides or contracts for managed care. Includes entities such as HMOs, PPOs, POS plans, EPOs, etc.
See Managed Care Organization.
Managed Care Organization. An entity that employs the methods of managed care for the purpose of controlling health care utilization and costs and improving access and quality. Some MCOs provide only administrative, and not clinical, services (see Administrative Services Only (ASO) Organization).
Managed Care Organizations. Any group implementing health care using managed care concepts including pre-authorization of treatment, utilization review, and a fixed network of providers.
Managed Care Organization. multiple types of organizations including health insurers, medical groups, hospitals, and health systems accountable for the health of a group of people enrolled to receive health care services. MCOs seek improvements in care-effectiveness and cost-effectiveness. http://www.iha.org/gloss.htm
Managed Care Organization. is an entity that has entered into a risk contract with a state Medicaid agency to provide a specified package of benefits to Medicaid enrollees in exchange for a monthly capitation payment on behalf of each enrollee. 45
An organization that arranges for health care delivery and financing and that is designed to provide appropriate, effective, and efficient health care through organized relationships with providers. Includes formal programs for ongoing quality assurance and utilization review, financial incentives for covered members to use the plan's providers, and financial incentives for providers to contain costs. Managed care plans vary greatly in the degree to which benefit coverage is offered, monitored, and conditioned upon certain criteria being met by the subscriber member and the member's primary care physician.
Managed Care Organization- Normally these are exactly the same as HMO's, but after HMO's got a bad name, a lot of these started calling themselves MCO's.
Managed Care Organisation
Managed care organization. A health plan that uses financial incentives and management controls to direct patients to providers who are responsible for giving appropriate care in cost-effective treatment settings. The goal is to improve quality of care while controlling the cost of healthcare. Managed care organizations include health maintenance organizations (HMOs) and preferred provider organizations (PPOs).
Maintenance and Construction Management
Managed Care Organization. A broadly used term to describe any entity that utilizes managed care techniques for health care delivery. Can involve anything from a loose association of providers on a discounted fee-for-service arrangement to a highly-integrated provider organization utilizing a global capitated budget.
(Managed Care Organization): Refers to any type of organizational entity providing managed care such as an HMO, PPO etc.
A managed care organization (MCO) combines health care delivery and financing of services. The entity generally receives a prepaid, capitated premium and assumes financial risk for the services provided to beneficiaries.
Managed Care organization. A health plan that seeks to manage care. Generally, this involves contracting with health care providers to deliver health care services on a capitated (per-member per-month) basis. (For specific types of managed care organizations, see also health maintenance organization and independent practice association.
managed care organization. Any entity that utilizes certain concepts or techniques to manage the accessibility, cost and quality of health care. Also known as a managed care plan.
Managed Care Organization is the generic term describing any plan that delivers health care by controlling providers and costs. HMOs and PCCM are two examples of managed care organizations.
Managed Care Organization. A health insurance plan in which the patient needs to choose their main (primary care) physician from a specified group and have medical services approved by their physician or medical group.
Managed Care Organization. Provides services to medically manage your workers' compensation claims. MCOs establish networks of health care providers that have been certified by BWC to serve you if you are injured at work.
MANAGED CARE ORGANIZATION. An exclusive provider network for work-related injuries or illness that includes a network of individual physicians and occupational therapy clinics.