Which organization is responsible for the health of a group of enrollees?

The managed care organization (MCO) is designed to provide healthcare services to a defined group of enrollees, emphasizing coordinated care and cost-effective service delivery. This organization takes responsibility for the overall health management of its members, which includes preventive care, primary care, and specialized services.

Managed care organizations operate on the principle of managing health care costs while ensuring quality services. They often involve various structures such as Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Exclusive Provider Organizations (EPOs), each focusing on providing comprehensive care while negotiating rates with providers to keep costs manageable for both enrollees and the organization itself.

In a managed care setup, the organization typically employs care managers and other professionals to oversee the treatment plans of enrollees, ensuring that they receive appropriate care according to clinical guidelines while helping to control expenses through efficient resource use. This system aids in reducing unnecessary procedures and promotes wellness and preventive health initiatives.

While options like case managers, triple option plans, and network model HMOs relate to aspects of health care management, they do not encapsulate the broader organizational responsibility for a population's health in the same way that managed care organizations do. Case managers focus on individual patient care coordination, triple option plans