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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Contributors in Managed care

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Managed care

play or pay

Health care; Managed care

Employers would be required to provide health insurance to their employees or to pay a special government program tax.

large group health plan

Health care; Managed care

Employer-sponsored health plan for usually more than 100 members.

return to work provision

Health care; Managed care

Encourages employees to return to work as soon as they become physically able, an additional incentive is usually provided for a certain period of time, and is called a return to work provision.

open-ended HMO

Health care; Managed care

Enrollees are allowed to receive services outside the HMO provider network without referral authorization, but are usually required to pay an additional copay or deductible.

notification requirements

Health care; Managed care

Ensuring that a patient receives the appropriate level of care by reviewing admissions and procedures before or aft er they are provided. Examples of notification requirements include ...

diagnostic admission

Health care; Managed care

Entrance into a health care facility for tests and explorative interventions to establish a cause of illness.

Epidemiology concerned with the search for health-related causes and effects. Uses comparison groups, which provide baseline data, to quantify the association between exposures and outcomes, and test ...