Discuss the physician’s dual function under an MCO model of care.

Under an MCO model of care, physicians are tasked with two important functions. First, they must act as a gatekeeper who ensures that patients receive the appropriate level and type of care based on their individual needs while also maintaining quality standards through utilization management. This involves determining which services should be covered, setting guidelines for prescribing certain medications, and monitoring outcomes to ensure patient safety is upheld.

Second, they are responsible for providing direct healthcare services such as diagnosis and treatment plans in order to ensure that all medical issues are being addressed properly. By establishing relationships with patients and actively engaging them in their own health care decisions it becomes possible to foster greater trust and ensure that individuals remain satisfied with their overall experience over time. Ultimately, understanding the dual roles played by physicians within this system is essential for creating effective strategies when attempting to maximize both cost efficiency and patient satisfaction accordingly moving forward.