Managed care

Managed care

A health care practice intended to streamline services and provide high quality, cost-effective care.

Industry: Health care

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Managed care

partial risk contract

Health care; Managed care

A contract between a purchaser and a health plan, in which only part of the financial risk is transferred from the purchaser to the plan.

A contract between Medicare and a health plan under which the plan receives monthly capitated payments to provide Medicare-covered services for enrollees and thereby assumes insurance risk for those ...

blanket insurance

Health care; Managed care

A contract of health insurance that covers all of a class of persons not individually identified in the contract. A group health insurance policy covering a number of individuals who are not ...

conditionally renewable contract

Health care; Managed care

A contract of health insurance that provides that the insured may renew the contract from period to period or continue the contract to a stated date or an advanced age, subject to the right of the ...

group contract

Health care; Managed care

A contract of insurance made with an employer or other entity that covers a group of persons identified in reference to their relationship to the entity. These identified individuals may include ...

favored nations discount

Health care; Managed care

A contractual agreement between a provider and a payer stating that the provider will automatically provide the payer with the best discount it provides anyone else.