A managed care organization can be defined as a health care provider or a group of organizations that provide medical services. These often provide the managed health care plans.
The managed health care organizations develop contracts with the insurers or self-insured employees, finances that delivers the health care using care provider network, products and specific services. It provides discounts in treatments.
You want to avoid doing D at all cost. It's important that your friend doesn't feel that your friendship is in danger. That may only encourage her to enduce more self harm.