8 Terms
Home > Industry/Domain > Health care > Managed care
Managed care
A health care practice intended to streamline services and provide high quality, cost-effective care.
Industry: Health care
Add a new termContributors in Managed care
Managed care
external quality review program
Health care; Managed care
A health insurance, managed care, or HMO initiative for determining the quality of medical care provided to plan members, by outside review organizations.
inactive
Health care; Managed care
A health or life insurance plan that has been cancelled, no longer in force or effective.
direct contract HMO
Health care; Managed care
A health plan contracting directly with individual physicians, rather than a group of doctors. Similar to an independent physician, or individual practice association (IPA) model health plan.
fully funded plan
Health care; Managed care
A health plan under which an insurer or managed care organization bears the financial responsibility of guaranteeing claim payments and paying for all incurred covered benefits and administration ...
primary coverage
Health care; Managed care
A health plan without coordination of benefits consideration.
line of business
Health care; Managed care
A health plan, HMO, exclusive provider organization, managed care organization, or PPO set up as a line of business within another, larger organization, usually an insurance company. This legally ...
noncancelable health insurance policy
Health care; Managed care
A health policy that the insured has the right to continue in force (by the payment of premiums as set forth in the contract) for a substantial period of time, during which period the insurance ...
