managed care organization


Also found in: Dictionary, Legal, Financial, Acronyms, Encyclopedia.

managed care organization (MCO)

an organization that combines the functions of health insurance, delivery of care, and administration. Examples include the independent practice association, third-party administrator, management service organization, and physician-hospital organization.

managed care organization

Health insurance A health care delivery system consisting of affiliated and/or owned hospitals, physicians and others which provide a wide range of coordinated health services; an umbrella term for health plans that provide health care in return for a predetermined monthly fee and coordinate care through a defined network of physicians and hospitals Examples HMO, POS. See HMO, Point of service plan, PPOs.
References in periodicals archive ?
Managed care organizations should provide point-of-service options which enable people with disabilities to chose an out-of-network provider for highly specialized services when necessary.
This group will study the impact of downstream risk on managed care organizations, providers, and consumers.
Finally, our respondents felt that career development programs may prove vital for ensuring that physicians stay energized and committed throughout their "corporate" fife at any given managed care organization.
The challenge for managed care organizations will be to recruit medical directors capable of being integral members of the management team.
and that managed care organizations are incentivized to control medical and pharmacy costs.
This guideline is consistent with market trends; many managed care organizations are now requiring that primary care physicians declare one specialty category rather than two (e.