US Medical Term · insurance
Managed Care Organization
Organización de Atención Médica Administrada
In 9 languages
| Language | Term |
|---|---|
| English | Managed Care Organization |
| Spanish (Español) | Organización de Atención Médica Administrada |
| Chinese (中文) | 管理式医疗机构 |
| Korean (한국어) | 관리형 의료 기관 |
| Vietnamese (Tiếng Việt) | Tổ chức chăm sóc có quản lý |
| Filipino (Tagalog) | Managed Care Organization |
| Portuguese (Português) | Organização de cuidados gerenciados |
| Thai (ภาษาไทย) | องค์กรการดูแลสุขภาพแบบจัดการ |
| Japanese (日本語) | 管理型医療機関 |
What it means
A Managed Care Organization (MCO) is a health plan or entity that coordinates and delivers medical services through a contracted provider network, using tools such as prior authorization, care management, utilization review, and referral requirements to control costs and improve quality. Many state Medicaid programs contract with MCOs to administer benefits for enrolled members. MCOs operate under various models—HMOs require a primary care gatekeeper, PPOs allow more flexibility. Members typically receive a member handbook, a provider directory, and a benefits summary specific to their MCO. If you are enrolled in Medicaid through an MCO, your benefits are administered by that organization rather than directly by the state.
How to say it
Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:
MCO—managed care organization
organización de atención médica administrada
Medicaid managed care health plan
plan de salud de atención administrada de Medicaid
HMO or PPO type managed care plan
tipo de plan HMO o PPO de atención administrada
Where you'll see it
Related terms
Sources
Last reviewed: September 2026