Managed care is a healthcare delivery system designed to improve the quality of care while controlling costs. It involves a network of providers, such as doctors and hospitals, who work together to provide coordinated services to patients. By focusing on preventive care and efficient treatment, managed care aims to reduce unnecessary procedures and hospital visits, ultimately benefiting both patients and insurers.
In managed care, patients often choose a primary care physician (PCP) who acts as a gatekeeper for their healthcare needs. This means that the PCP coordinates referrals to specialists and ensures that patients receive appropriate care. By streamlining the process, managed care helps maintain a balance between quality and affordability in healthcare.