Limiting patients to coverage of in-network services

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Many individuals accuse MCOs of being cheap and stingy with their pay-outs for coverage. Others believe they are cost efficient, saving money and preventing waste. Identify the basic factors of financial management with regard to the process of MCO coverage, such as limiting patients to coverage of in-network services. Explain why this is sound financial practice. Be specific.

Reference no: EM131583702

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