What is the primary role of a Managed Care Entity (MCE)?

The primary role of a Managed Care Entity (MCE) is to coordinate the delivery of health care services. This involves creating a structured system that emphasizes the management of patient care while improving access to necessary services and controlling costs. MCEs aim to streamline processes between patients, providers, and insurers to ensure that individuals receive the right care at the right time, often focusing on preventive care and ongoing management of chronic conditions.

By coordinating services, MCEs can reduce duplication of efforts and ensure that patients are not only receiving treatment but are also directed towards preventive measures and regular check-ups that can reduce the need for more expensive emergency interventions later on. This coordinating function is essential for enhancing the overall efficiency and effectiveness of the healthcare system.