Managed Care is a healthcare delivery structure systematized to manage expenses, applications, and excellence. Medicaid managed care offers health advantages and supplementary services through contracted provisions concerning state Medicaid agencies and managed care organizations (MCOs) that receive a set per member per month compensation for services. By acquiring numerous MCOs to distribute Medicaid program health care services to recipients, states can diminish Medicaid program expenses and improve direct utilization of health services. Enhancement in health plan function, health care excellence, and results are significant objectives of Medicaid-managed care (Centers for Medicare & Medicaid Services, 2021). The Institute of Medicines (IOMs) Roundtable on Evidence-Based Medicine pursues converting the method in which medical evidence is produced and expanded to recuperate health care. This is a goal powerfully reinforced by the insurer segment, as demonstrated by this sectors recurrent development of implementations and methods intended to inspire superiority in medical practice and advance the worth of the health care delivered. While an inclusive series of drivers of escalating overheads has been recommended, various are usually established to be crucial sponsors. These commonly agreed-upon drivers embrace innovative treatments and higher-priced technologies; the improved negotiating power of providers; amplified consumer request; senior population; and chronic conditions connected with obesity, smoking, and substance misuse. Associated with these growing healthcare expenses is an element that medical care has developed into tarnished for varied regional differences in treatment, the noteworthy underuse and abuse of endorsed best practices, and an unwarranted dependence on medicines of little or no value. The present inclinations in both price and quality joined with the impact and anticipation of representatives, managers, customers, and consumers, have developed into an atmosphere apprehensive with substantial trials to advancing evidence-based evaluation (Rowe, 2009).
