In an MCO-style model, doctors are required to perform two essential functions. They must first act as gatekeepers to ensure that the right level of care is provided to patients based on individual needs, while maintaining high quality standards. It involves setting up guidelines on how certain drugs should be prescribed, determining what services are covered and monitoring the outcomes in order to maintain patient safety.
In order to address all medical concerns, secondly they must provide direct services like diagnosis and treatment plans. In order to create a greater sense of trust with the patients, and increase their satisfaction with their experience in health care over time, it is important that they are actively involved with making their own decisions. In the end, it is important to understand both roles of physicians in order to develop effective strategies that will maximize cost effectiveness and patient satisfaction moving forward.