Commission for Case Manager Certification (CCMC) Practice Exam

Question: 1 / 400

What is the main advantage of using a managed care organization?

Unlimited provider options

Fixed lower costs for patients

The main advantage of using a managed care organization lies in the fixed lower costs for patients. Managed care organizations are specifically designed to lower healthcare expenses by negotiating prices with providers and managing the delivery of care efficiently. This model often includes a network of doctors and hospitals that agree to provide services at reduced rates, allowing patients to benefit from predictable out-of-pocket costs like copayments and deductibles.

Additionally, patients typically experience streamlined services that prioritize preventive care and wellness, which can lead to cost savings in the long run. The fixed costs often offer financial predictability, making it easier for patients to budget for their healthcare expenses. Thus, this approach contributes significantly to making healthcare more accessible and affordable for individuals enrolled in these plans.

The other options do not effectively capture the primary benefit of managed care. Unlimited provider options are often limited in managed care settings due to the emphasis on networks. Likewise, while access to out-of-network resources may exist, it often involves higher costs and is not a defining feature of managed care. Finally, the process of claims filing is typically still required in some form, depending on the specifics of the managed care plan, which means that "no need for claims filing" is not an accurate depiction of this organizational structure.

Get further explanation with Examzify DeepDiveBeta

Access to extensive out-of-network resources

No need for claims filing

Next Question

Report this question

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy