Managed Care Organizations (Noun) include which of the following?

• A. Hospitals, clinics, and labs
• B. HMOs, Medicaid MCOs, Medicare Advantage plans
• C. Ambulatory surgery centers
• D. Pharmacy benefit managers

Answer: (B)

Managed care organizations coordinate and finance medical care through networks of providers and benefit designs. They contract with hospitals, clinics, labs, and physicians to deliver services to members, often using network restrictions and authorization processes to control costs and quality. The group that includes HMOs, Medicaid managed care organizations, and Medicare Advantage plans embodies these organizational forms that actively manage care and benefits for enrollees. The other options describe facilities (hospitals, clinics, labs; ambulatory surgery centers) or administrative drug-benefit entities (pharmacy benefit managers), which are not the managed care organizations themselves.