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Managed Care: Solutions for Improving Integration and Care ...

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What Is <strong>Managed</strong> <strong>Care</strong>?<br />

• <strong>Managed</strong> care is an approach to delivering <strong>and</strong> financing<br />

health care aimed at improving the quality of <strong>and</strong> access to<br />

care <strong>and</strong> services while also saving costs by reducing<br />

fragmentation.<br />

• The fundamental idea is twofold:<br />

– (1) Improve access to <strong>and</strong> coordination of care <strong>and</strong> services.<br />

– (2) Rely more heavily on preventive <strong>and</strong> primary care.<br />

– (3) Eliminate unnecessary <strong>and</strong> duplicative services<br />

– (4) Increase collaboration between providers <strong>and</strong> MCOs<br />

• An example of where this is an ideal approach is consumers<br />

who are dually eligible <strong>for</strong> Medicaid <strong>and</strong> Medicare.<br />

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