Skip to main content

Managed Care Services


Managed Care refers to a health system in which Managed Care Organizations (MCOs) agree to coordinate and provide comprehensive healthcare to a population in exchange for a fixed payment per-person per-month (capitation rate).  The Actuarial Analysis Department and HHSC’s consulting actuaries use actuarially sound practices and principles to develop MCO capitation rates. Capitation rates are developed on a state fiscal year basis.