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Fee-for-service vs. managed care: Taking back control of your …

WebUnder managed care, the state pays a managed care plan a capitation rate—a fixed dollar amount per member per month—to cover a defined set of services for each person enrolled in the plan. In turn, the plan pays providers for all of the Medicaid services an enrollee may require that are included in the plan’s contract with the state. WebIn a managed care plan, the paperwork is generally taken care of by the health care provider instead of you, the policy holder. Your medical care is usually covered with only a low percentage co-insurance or co-payment, an amount that is … trgc music

Quality, Health, and Spending in Medicare Advantage and ... - AJMC

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