Discuss the physician’s dual function under an MCO model of care.

Place an order for 678531 managed care. Nursing homework help| Nursing homework help

MCO care models require physicians to perform two crucial functions. The first is to act as a gatekeeper, making sure that patients get the best care possible based on their specific needs. They also have to maintain quality standards by utilizing utilization management. They will determine which services are covered and establish guidelines to prescribe certain medication. Finally, they will monitor the outcomes of each patient’s care in order to maintain safety.

In order to address all issues, the second responsibility is providing direct health care services. It is possible to build trust with patients by actively engaging them in making their health care decisions. This will help ensure they are satisfied and continue to be happy with the overall experience. It is crucial to understand the dual roles that physicians play in this system so you can create strategies for maximizing both patient satisfaction as well as cost efficiency.

This is a snippet preview, get a complete custom solution
Access a Complete Custom-Written Paper from Our Writers, Now!!