Which aspect of managed care plans helps control medical costs?

Prepare for the North Carolina Accident and Health Exam. Utilize flashcards and multiple choice questions featuring hints and explanations. Ace your exam effortlessly!

Contracting with a network of healthcare providers is a crucial mechanism that managed care plans use to control medical costs. By establishing agreements with a specific group of providers, managed care plans can negotiate lower rates for services. This creates a financial incentive for patients to use in-network providers, which helps to steer patient care toward those who offer the most cost-effective services while maintaining quality.

The network model helps to manage costs by limiting the number of providers patients can access without facing higher out-of-pocket expenses, thereby reducing unnecessary and costly services. This, in turn, allows managed care organizations to offer competitive premiums and manage overall healthcare expenditures effectively.

The other options suggest approaches that do not effectively manage costs. Allowing unlimited provider choices without restrictions would likely lead to increased costs due to less control over pricing and provider quality. Setting fixed premium amounts regardless of patient usage may seem attractive but does not address the underlying costs associated with healthcare provision. Covering all medical procedures without limitations could lead to overutilization of services, further driving up expenses without necessary oversight.

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