Challenges faced by MCOs regarding price variations and ways of overcoming these challenges
Challenges Utilization management acts as one of the most complex financial balancing act that managed care organizations (MCOs) try to utilize in an effort to manage health care costs and create value for future health care services (Bailit & Sennett, 1992). However, managing cost through utilization management concept creates price variations that pose major challenges to MCOs. One of the major challenges faced by MCOs regarding price variation is its diverse nature. The use of utilization management in MCOs has gained a lot of demand making it difficult to make a general conclusion on certain variations. Price variations linked to ...