In recent years, managed care organizations (MCOs) have become increasingly popular. As of 2019, it was estimated that approximately 16 million people belonged to a managed care organization*. The MCO strives to combine the provider aspect and the insurance function into a single organization. It is important to have a solid understanding of insurance as well as to understand the MCO model. We continue to hear about health care reform, and insurance and the role of MCOs, as well as the role of medical providers, will be a part of this ongoing discussion.
*Source:
In your post, respond to the following questions:
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Explain the concept of insurance. What is meant by the term adverse selection and how do insurers address this problem?
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How do you believe providers should be compensated? Should reimbursement be based on quality of care, and if so, how exactly should quality be measured?
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What do you see as the greatest challenge to reforming the United States health care system over the course of the next five years?
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