What is typically a function of managed care organizations?

Managed care organizations play a significant role in the healthcare system by implementing strategies aimed at managing costs and improving the quality of care delivered to patients. One of their main functions is requiring pre-authorization for certain procedures, which helps to ensure that the services are medically necessary and appropriate for the patient's condition. This process is intended to control spending by evaluating the necessity of specific treatments before they are provided to patients, thus preventing unnecessary costs for both the patients and the healthcare system.

In addition to pre-authorization, managed care organizations typically employ a variety of strategies, such as negotiated rates with providers, care coordination, and utilization management, all aimed at promoting more efficient healthcare delivery. This focus on managing services not only facilitates cost control but also aims to ensure that patients receive the right care at the right time.