A managed care review system generally tries to place an emphasis on preventative care, so that costs can be controlled. When it comes to doing business and keeping competitive, a managed care review company can help their clients with payment reviews, revenue recovery, contract compliance and other things that could help to save money for everyone involved. The more a doctors office or hospital can control their costs, the less they will have to charge their customers, and the more competitive they can become.
Managed care review plans are health insurance plans that contract with medical facilities and health care providers to provide quality care for certain members at reduced rates. Because patients are picking up a large portion of “First dollars” coverage, PPOs are the least expensive types of coverage.
Experts at managed care review plans know that POS (Point of Service plans) allow the consumer to select between a PPO or HMO each time they require care. HMOs are all licensed at the state level, under a license that is know as a COA (Certificate of Authenticity), rather than an insurance license.