What is Managed Care and how does an HMO work?
Understanding managed care and HMO requirements will help you get the most out of your health care coverage. Managed care is a complex system that involves the active coordination of, and the arrangement for, the provision of health services and coverage of health benefits. Most health plans in the United States today are some form of managed care. The goal of managed care is to control skyrocketing health care costs without sacrificing the quality of care. A Health Maintenance Organization (HMO) is an organization that provides comprehensive health care for you and your family. Upon enrollment, you may choose a doctor to serve as your primary care doctor. This doctor monitors your health and provides most of your medical care, referring you to specialists and other healthcare professionals as needed.
