Results for tag: "Healthcare Financing"

The Healthcare Financing market within the context of Managed Care is a system of health care delivery that seeks to control costs and improve quality of care by coordinating the delivery of health care services. It is a system of health care delivery that combines the financing and delivery of health care services through a network of providers, such as hospitals, physicians, and other health care professionals. Managed care organizations (MCOs) are responsible for providing health care services to their members, and they are typically paid a fixed fee for each member enrolled in their plan. Managed care organizations use a variety of strategies to control costs, such as utilization management, case management, and quality improvement initiatives. Utilization management involves the use of pre-authorization and utilization review to ensure that services are medically necessary and cost-effective. Case management involves the coordination of care among providers to ensure that the patient receives the most appropriate care. Quality improvement initiatives involve the use of evidence-based guidelines and protocols to ensure that care is delivered in a safe and effective manner. Some of the companies in the Healthcare Financing market include UnitedHealth Group, Aetna, Cigna, Humana, and Anthem. Show Less Read more