34 Terms
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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
all clause deductible
Health care; Managed care
A single deductible to cover patient expenses as the result of the same or similar health insurance causes within a given time period.
integrated health care system
Health care; Managed care
A single health care organization that provides ambulatory and tertiary care to its enrollees.
integrated delivery system (IDS)
Health care; Managed care
A single organization or entity that usually includes a hospital, a large medical group, and an insurance vehicle, such as an HMO or PPO, that provides ambulatory and tertiary care for its enrollees. ...
single payer system
Health care; Managed care
A single, government fund pays for everyone’s health care using tax revenue.
pended
Health care; Managed care
A situation in which it is not known whether an authorization has or will be issued for delivery of a health care service, and the case has been set aside for review.
incurred claim
Health care; Managed care
A situation where insurance premium payment may be demanded under the provisions of the policy or all claims with dates of service within a specified period.
burial insurance
Health care; Managed care
A slang term usually referring to a small policy of life or health ($1,000 to $5,000) intended to pay the funeral costs of the deceased insured.
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