In what way does managed care actually manage cost?

In what way does managed care actually manage cost?

In what way does managed care actually manage cost? Does it do so without diminishing the quality of care? If so, how does it accomplish this?

Just need three paragraphs with three references to answer this discussion post question. APA style master nursing level course.  
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Managed Care and Cost Management
Following the elevated cost of healthcare, the health providers have been coming up with ways of minimizing the cost while maximizing the outputs. Poor management is in healthcare is the starting point of the high cost of service provision. In the event that the healthcare institutions are experiencing some high cost in providing the services as a result of poor management, that cost is likewise reflected in the patients. When healthcare has proper management of various operations in the institution, they are likely to reduce the cost of providing the services (Cushman & Gilford, 2000). The managed care ensures that all the patients in the healthcare are provided with the relevant materials required at the right proportion, this will likewise reflect the managed cost of service provision.
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