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

durable medical equipment (DME)

Health care; Managed care

Defined as medical equipment that meets the following criteria: (a) can withstand repeated use, (b) is primarily and customarily used to serve a medical purpose, (c) generally is not useful to a ...

qualified medical expense (QME)

Health care; Managed care

Defined by IRS Code 213(d) as an expense used to alleviate or prevent a mental defect, illnesses, or physical defects.

negligence

Health care; Managed care

Degree of care used by the ordinary and prudent person; may be caused by omission or commission.

deferred premium

Health care; Managed care

Delayed monthly health insurance premium to transfer incurred but not reported expenses.

actively-at-work

Health care; Managed care

Describes a health insurer’s policy requirement indicating that a member is actively and gainfully employed.

Designed mainly for small businesses, these are no-frills, low-cost policies with limited hospitalization, large deductibles and copayments, and low policy limits. Over half of the states have waived ...

indexing

Health care; Managed care

Designed to provide some protection against inflation. Aft er the first year of disability, a disabled employee’s predisability earnings are usually increased (or indexed) by a certain percentage on ...