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Managed care: a foundation for evolution
C C Boesz1, R C Armstead, B Vladeck
1Health Care Financing Administration, Department of Health and Human Services, Washington, DC, USA.
Summary
Managed care organizations (MCOs) have evolved over 30 years. Future success requires addressing physician and consumer expectations for quality and cost.
Area of Science:
- Healthcare Management
- Health Services Research
Background:
- Review of managed care organization (MCO) history over 30 years.
- Analysis encompasses both private and public sector MCOs.
Observation:
- Evaluation of MCO success based on physician and consumer expectations.
- Identification of key areas for future MCO development.
Findings:
- Managed care has a complex 30-year history with varied outcomes.
- Meeting diverse stakeholder expectations remains a challenge for MCOs.
Implications:
- Future MCO strategies must prioritize quality and cost-effectiveness.
- Addressing specific areas is crucial for MCOs to meet future demands.