There are vast differences in the managed care programs offered by insurance carriers and third-party administrators (TPAs). Savings can vary widely depending on the managed care strategies offered by a carrier/TPA. Simply put, different claims/managed care models produce substantially different outcomes both from cost and utilization perspectives. In this year-end edition of PMA Executive Briefings, we'll review four key factors that determine the effectiveness of a managed care program as well as a fifth, often overlooked, component of managed care effectiveness.
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