A common criticism of HMOs, PPOs and other managed care organizations is that the sickest patients resist use of managed care because they are uncomfortable with the gatekeepers and managers involved in obtaining their health care.

Question

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Managed care organizations often require patients to go through gatekeepers or primary care physicians to access specialist services, which can be a barrier for the sickest patients who feel this restricts their ability to directly access the specialized care they believe they need. This system of managed care aims to control costs and ensure appropriate use of services, but can lead to dissatisfaction among patients with complex or severe health issues who perceive it as an obstacle to timely and direct care.

A Common Criticism of HMOs, PPOs and Other Managed Care