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The development of MCOs has been influenced by the type of market they serve. For example BCBS companies moved from primarily a service plan provider to a multiproduct line that includes HMO, PPO, and consumer choice plans.
In addition, various types of managed care organizations have emerged due to forces imposed by the state and the federal governments such as the HMO Act of 1973.

Research and describe how public policy has impacted the growth of managed care. Choose two examples, one from the state government and another from the federal government. Which organization do you believe is more restrictive in its policy?

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