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CHN
Managed Care Organization (MCO) is a physician-driven, medical management-focused,
managed care organization committed to improving the delivery of
care within its community. CHN MCO provides comprehensive contracting
and medical management services on behalf of its member organizations.
The
founding members of CHN established an entity that organizes hospitals
and physicians into a vehicle capable of contracting with managed
care payors and managing the care delivered under those contracts.
CHNs initial activities focused on educating its membership
on the changing health care environment and responding to the pressures
for collaboration among providers in managing the delivery of care.
Very
early in the formation of the Cleveland Health Network, a strategic
decision was made to ensure the managed care organization had the
necessary infrastructure in place to develop autonomy and the expertise
to provide for the highest quality care at cost-effective rates.
CHN MCO made the commitment to develop the functions necessary to
capture and generate both accurate and timely data necessary for
effective medical/financial decision making. With this expertise
and infrastructure, CHN MCO, with a comprehensive network of hospitals
and physicians, is well-positioned as the pre-eminent network in
the region, able to control its own destiny as the market and environment
change.
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