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Managed Health Care Pharmacy BenefitsWhirlwind Steel Buildings, Inc. Group #081980JanuaryJanuary 1, 20191, 2018Table of Contents Schedule(s) of Coverage(s) .............................................................................................................................
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United States managed care is a system of health care delivery that aims to manage cost, utilization, and quality of care by coordinating services provided to patients through contracts with providers.
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Organizations that participate in managed care, including health maintenance organizations (HMOs), preferred provider organizations (PPOs), and other managed care entities, are typically required to file documentation related to United States managed care.
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The purpose of United States managed care is to improve health care efficiency by controlling costs, enhancing patient access to healthcare services, and ensuring quality of care through coordinated provider networks.
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Information that must be reported includes enrollment data, financial performance metrics, service utilization statistics, and compliance with regulatory standards.
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