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Provider Manual 2019Provider ManualMHPC20130528 Rev. 12.13.18McLarenHealthPlan.org (888) 3270671Provider Manageable of Contents I Introduction....................................................................................................1
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Anyone who wants to access healthcare services through a managed care plan needs information about managed care. This includes individuals who are considering enrolling in a managed care program, those who are already enrolled and need to update their information, or individuals seeking to better understand how managed care works.
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Managed care is a health care delivery system designed to provide cost-effective healthcare while maintaining quality and accessibility.
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Healthcare providers, insurance companies, and other organizations involved in managed care are required to file reports.
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Reports about managed care can be filled out electronically or by submitting paper forms to the appropriate regulatory body.
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The purpose of reporting on managed care is to ensure transparency, monitor quality of care, and track healthcare trends.
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Information such as patient outcomes, cost of care, provider networks, and utilization of services must be reported on managed care.
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