5 Terms
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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
proforma financial statements
Health care; Managed care
Estimates or projections of the four consolidated financial statements: (a) Balance Sheet; (b) Cash Flow Statement; (c) Net Income Statement; and (d) Statement of Operations.
nonmaleficence
Health care; Managed care
Ethical principle of managed care to not harm their members.
economic credentialing
Health care; Managed care
Evaluating a physician’s economic behavior (i.e., tests ordered, hospital bed days, outcomes) in deciding upon medical staff appointment or reappointment.
vision survey and analysis
Health care; Managed care
Examination given by an eye doctor that may include a case history, refraction, coordination measurements and tests, prescription of lenses as needed, and verification of lenses, if prescribed.
exclusions from medical benefits
Health care; Managed care
Exceptions section in many health and managed care insurance policies that exclude coverage for certain abortions, cosmetic surgery, orthopedic shoes, speech therapy, durable medical equipment, and ...
return on net worth (RONW)
Health care; Managed care
Excess of corporate insurance company end of year net worth.
workers’ compensation catastrophe covers
Health care; Managed care
Excess of loss reinsurance purchased by primary insurance companies to cover their unlimited medical and compensation liability under the workers’ compensation laws.
