MCOs is an abbreviation that stands for Managed Care Organizations. It is a health body situated in the United States to deliver quality healthcare to the citizens via a system that is aimed at enhancing efficiency as well as offering health maintenance at a reduced cost. This system is managed by the Health Care Authority through public funding, from the Federal Government to the State Government. Its regulation is dependent on the project sponsors and the risk bearer who takes the initiative of paying for the insured services. In this case, the federal government is responsible for modulating managed healthcare and other health plans as well, financed by private sector employers.

Additionally, this body also is responsible for things like taking contracts with insurers or self –insured employers as well as finances and delivers wellness program using a particular provider network and specific services and products. Equally important, this health body is certified by the director of the Department of customer and business services (DCBS). Its structure Varies as some of the MCOs organisations are made of physicians whereas on the other hand others are made of a combination of physicians, hospitals and other providers.

However, sometimes there is disagreement between the local and the federal laws that in all means possible have to be solved. Whenever there is disagreement between the two laws, the legislation that applies is referred to as the supremacy clause. This jurisprudence is as per article VI of the constitution which comprises of the doctrine of pre-emption. This law dictates that in any circumstance of conflicting legislation, the federal government wins. The clause decrees the federal law is the “supreme law of the land”.