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  2. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    Managed care plans and strategies proliferated and quickly became nearly ubiquitous in the U.S. However, this rapid growth led to a consumer backlash. Because many managed care health plans are provided by for-profit companies, their cost-control efforts are driven by the need to generate profits and not providing health care. [5]

  3. Medicaid managed care - Wikipedia

    en.wikipedia.org/wiki/Medicaid_managed_care

    States can make managed care enrollment voluntary, or seek a waiver from CMS to require certain populations to enroll in an MCO. If states provide a choice of at least two plans, they can mandate enrollment in managed care. Healthy children and families make up the majority of Medicaid managed care enrollees, but an increasing number of states ...

  4. What to know about Medicare managed care plans - AOL

    www.aol.com/know-medicare-managed-care-plans...

    The term “managed care” originally involved prepaid health plans, typically health maintenance organizations (HMOs). However, the term expanded to include preferred provider organizations (PPOs).

  5. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    MA plans may choose to pay for deductibles, include on some covered medications. Most MA plans are managed care plans (e.g., Preferred Provider Organizations (PPO) or Health Maintenance Organizations (HMO)). Both types develop lists of providers ("networks") based on the provider's willingness to accept the plan's terms for fees and other matters.

  6. What to Know About Dual Eligibility for Medicare and Medicaid

    www.aol.com/lifestyle/know-dual-eligibility...

    PACE (Program of All-inclusive Care for the Elderly): This is a Medicare-Medicaid joint program that provides medical and social services for people with significant needs who want to continue ...

  7. Health maintenance organization - Wikipedia

    en.wikipedia.org/wiki/Health_maintenance...

    It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis.

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