9 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
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Managed care
rate manual
Health care; Managed care
A list of charges by an insurance company for nonstandard premiums.
open formulary
Health care; Managed care
A list of drugs that a health plan prefers, but does not mandate physicians to prescribe.
compendium
Health care; Managed care
A list of information about drugs, their interactions, and their side effects.
nonplan provider
Health care; Managed care
A health care provider without a contract with an insurer; similar to a nonparticipating provider.
intermediate nursing facility
Health care; Managed care
A health facility licensed by the state and oft en certified by Medicare or Medicaid to provide intermediate care.
Medicare+Choice Medical Services Account
Health care; Managed care
A health insurance account created by contributions from the Centers for Medicare and Medicaid Services (CMS, formerly HCFA) to pay out-of-pocket medical expenses for Medicare beneficiaries. The ...
prospect file
Health care; Managed care
A health insurance agent’s card of computerized listing of present clients, prospects, and suspects, usually arranged according to alphabet and by date to contact.
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