Managed care systems ensure the delivery of high-quality care while managing costs through:

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Managed care systems typically use provider networks to negotiate discounted fees for services, which helps to control costs. By ensuring that patients only visit providers within the network, these systems can keep a closer eye on the care being delivered and make sure that it meets quality standards. While regular premium increases may happen in some managed care systems, they are not a universal feature nor the main method of cost management. Prohibiting out-of-network providers is one way to keep costs under control, but it may not be the only or the most effective way, especially in areas where there is a shortage of network providers or where patients have special health needs. Mandatory high deductibles across all health plans may deter some patients from seeking care or receiving necessary treatments, and may not be the most appropriate way to encourage cost savings.

Managed Care Systems Ensure the Delivery of High-Quality Care While