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The 2018 MCO Report Card provides an evaluation tool for assessing the performance of managed care organizations (MCOs) in Ohio. It measures various components such as medical management quality, return-to-work strategies, and service timeliness. The report includes metrics on the number of employers and claims assigned to each MCO, days absent from work, medical service management efficiency, claim filing timing, penalties imposed for non-compliance, and employer satisfaction ratings. This objective information aids employers in selecting suitable MCOs while being aware of potential marketing influences.

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What does MCO stand for in medical terms?

A managed care organization (MCO) is a health care provider, or group of medical service providers, that contracts with insurers or self-insured employers to provide managed health care services to enrolled workers.

What does mco plan type mean?

A managed care organization (MCO) is a health care company or a health plan that is focused on managed care as a model to limit costs, while keeping quality of care high.

What is the purpose of an MCO?

A Managed Care Organization (MCO) is a health plan or health care company that utilizes managed care as its model to keep the quality of care high while limiting costs. As part of a managed care system, an MCO agrees to offer its services at a reduced cost, along with other MCOs in the network.

Who benefits from MCO?

Children and adults are groups most likely to be enrolled in MCOs; however, states are increasingly including enrollees with complex needs in MCOs. As of July 2022, 36 MCO states reported covering 75% or more of all children through MCOs (Figure 5).

How many states have Medicaid MCOs?

Notes. This table includes Medicaid managed care organizations (MCOs) in the 41 states (including DC) that had contracts with Medicaid MCOs as of July 1, 2022. Data reflect only capitated managed care organizations (MCOs) providing comprehensive services to Medicaid enrollees.

Who is the largest Medicaid MCOs?

10 largest Medicaid managed care plans: Centenes Health Net: 1.6 million. Inland Empire Health Plan: 1.5 million. CareSource: 1.5 million. HealthFirst Health Plan: 1.3 million. Centenes Superior HealthPlan: 1.3 million. Horizon BCBS New Jersey: 1.1 million. Independence Healths AmeriHealth Caritas: 1.1 million.

What does MCO mean in Medicaid?

States and territories have increasingly relied on managed care organizations, or MCOscommercial insurance companies contracted by the stateto manage state Medicaid systems.

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