29 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
Add a new termContributors in Managed care
Managed care
out-of-area coverage
Health care; Managed care
Coverage of benefits in an area that would normally be outside the health plan’s coverage service area.
health insurance
Health care; Managed care
Coverage that provides for the payments of benefits as a result of sickness or injury. Includes insurance for losses from accident, medical expense, disability, or accidental death and dismemberment.
prescription drug card plan
Health care; Managed care
Covered individuals are issued prescription drug cards that allow them to charge their drug purchases at participating pharmacies.
Physician Payment Review Commission (PPRC)
Health care; Managed care
Created by Congress in 1986, to monitor and recommend changes in the current Medicare reimbursement procedures.
group credit life and health insurance
Health care; Managed care
Credit insurance written on a group basis.
reinsurance credit
Health care; Managed care
Credit taken on its annual statement by a ceding insurance company for reinsurance premiums ceded and losses recoverable.
claims status
Health care; Managed care
Current classification of a health care claim awaiting disposition.
