20 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
Add a new termContributors in Managed care
Managed care
disability buyout
Health care; Managed care
Agreement in disability insurance to buy out the interest of a disabled member.
service insurer
Health care; Managed care
Agreement to pay health care vendors under contract arrangements, such as Blue Cross or Blue Shield.
physician hospital organization (PHO)
Health care; Managed care
Alignment of medical providers, doctors, and health care facilities that negotiate with insurance companies, managed care organizations, HMOs, and other insurance entities.
insurability
Health care; Managed care
All conditions pertaining to an individual that affect his or her health, susceptibility to injury, as well as life expectancy and thus insurability. These factors are considered in determining the ...
uniform claim form
Health care; Managed care
All insurers and self-insurers would be required to use a single claim form and standardized format for electronic claims.
ESRD network
Health care; Managed care
All Medicare-approved end-stage renal disease facilities in a designated geographic area specified by the Centers for Medicare and Medicaid Services (CMS).
newborn care
Health care; Managed care
All physician services provided to a baby during the mother’s hospitalization.
