A variety of methods of financing and organizing the delivery of healthcare in which costs are contained.

A variety of methods of financing and organizing the delivery of healthcare in which costs are contained.

• A. Managed Care
• B. Preauthorization
• C. Prepaid Plan
• D. Primary Care Provider

Answer: (A)

Managed care combines the way care is paid for with how care is organized and delivered to control costs. It uses networks of providers with negotiated rates, often pays physicians through capitation rather than per-visit fees, and emphasizes coordinating care to avoid unnecessary services. A key element is the primary care provider who acts as a gatekeeper, guiding patients to appropriate services and approving certain referrals or procedures. Preventive care and disease-management programs help keep people healthier and reduce expensive interventions later. Tools like preauthorization exist within this system to curb overuse, and prepaid plans are common in many managed-care setups, but they describe parts of the model rather than the whole approach.

Managed care combines the way care is paid for with how care is organized and delivered to control costs. It uses networks of providers with negotiated rates, often pays physicians through capitation rather than per-visit fees, and emphasizes coordinating care to avoid unnecessary services. A key element is the primary care provider who acts as a gatekeeper, guiding patients to appropriate services and approving certain referrals or procedures. Preventive care and disease-management programs help keep people healthier and reduce expensive interventions later. Tools like preauthorization exist within this system to curb overuse, and prepaid plans are common in many managed-care setups, but they describe parts of the model rather than the whole approach.