<Tr> <Td> This box: <Ul> <Li> view </Li> <Li> talk </Li> <Li> edit </Li> </Ul> </Td> </Tr> <Ul> <Li> view </Li> <Li> talk </Li> <Li> edit </Li> </Ul> <P> The term "managed care" or "managed healthcare" is used in the United States to describe a group of activities ostensibly intended to reduce the cost of providing for profit health care while improving the quality of that care ("managed care techniques"). It has become the essentially exclusive system of delivering and receiving American health care since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010 . </P> <P>... intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost - sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high - cost health care cases . The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations . </P>

What are the two purposes of managed care
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