Pros and Cons of Managed Care

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Services are limited based upon what the payer agrees to pay. For example, employers will usually outline the number of visits or the amount of money they will pay for certain types of procedures. Medicare beneficiaries are, theoretically, entitled to the same benefits that Medicare provides...
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Medicare beneficiaries are, theoretically, entitled to the same benefits that Medicare provides. However, the review for "medical necessity" is more highly scrutinized and services are usually more limited in managed care. 2. Individuals may have to change physicians since all physicians do not participate in all managed care plans and many physicians will only take a limited number of patients with a specific managed care organization...
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