Which of the following organizations is included in managed care organizations (MCO)?

Prepare effectively for the CPC Compliance and Regulatory Exam with our interactive flashcards and multiple choice questions. Get insights, hints, and explanations to ensure exam success.

Managed care organizations (MCOs) are designed to provide healthcare services in a more cost-effective manner while ensuring quality care. One of the primary types of MCOs is a Health Maintenance Organization (HMO).

HMOs typically provide services to members for a predetermined fee or premium. They emphasize preventive care and wellness and require members to choose a primary care physician (PCP) who coordinates their healthcare services. This structure helps manage healthcare costs and services efficiently.

On the other hand, the other organizations listed do not fit within the definition of managed care organizations. Flexible Spending Accounts (FSA) are financial accounts that allow employees to set aside pre-tax dollars for medical expenses but do not provide healthcare services directly. Medicaid is a government program that provides health coverage for low-income individuals, but it encompasses a broader range of services beyond managed care. Social Security Disability Insurance (SSDI) is a federal insurance program that provides benefits to disabled individuals and is not related to managed care structures.

Thus, the inclusion of HMOs as a type of MCO aligns with the concept of managed care focused on delivering comprehensive health services efficiently.

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