Can MCOs Improve Quality while Managing Costs in Healthcare?
Yes—MCOs can improve quality while managing costs, and Medicaid MCO plans now cover about 70% of Medicaid beneficiaries nationwide. They use provider networks, prior authorization, and value-based contracts to steer care toward evidence-based, lower-cost settings. This article explains how MCOs evolved, how they control access and spending, and the quality tradeoffs. Just beneath the surface […]
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