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

lloyds of london

Health care; Managed care

An English institution within which individual underwriters accept insurance risks. Lloyds provides the support facilities for such activity but is not in itself an insurance company.

all-patient diagnostic-related groups (APDRG)

Health care; Managed care

An enhancement of the original DRGs, designed to apply to a population broader than that of Medicare beneficiaries, who are predominately older individuals. TheAPDRG set includes groupings for ...

creditor

Health care; Managed care

An entity or third party that is owed money.

payer

Health care; Managed care

An entity that assumes the risk of paying for medical treatments. This can be an uninsured patient, a self-insured employer, a health plan, or an HMO.

health insurance organization (HIO)

Health care; Managed care

An entity that contracts on a prepaid, capitated risk basis to provide comprehensive health services to recipients.

An entity that either contracts on a prepaid, capitated risk basis to provide services that are not risk-comprehensive services, or contracts on a nonrisk basis. Additionally, some entities that meet ...