A system of healthcare payment or delivery arrangements in which the plan attempts to control the use of services by its enrolled members to contain expenditures and/or improve quality.

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Managed healthcare is a system that aims to manage and control healthcare costs while maintaining and improving quality through various mechanisms, such as provider networks, utilization review, and disease management. It includes various models of healthcare delivery, such as health maintenance organizations (HMOs), preferred provider organizations (PPOs), and accountable care organizations (ACOs). In contrast, fee-for-service, indemnity insurance, and health insurance exchange are not necessarily focused on controlling costs or managing care in the same way.

A System of Healthcare Payment or Delivery Arrangements in Which