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

benefit period

Health care; Managed care

In reference to health insurance, the maximum length of time benefits will be paid for any one accident, illness, or hospital stay.

arrears and advances

Health care; Managed care

In reference to home service insurance, arrears are the total of premiums due up to and including the current week or month. Advances are the total premiums paid in advance of the current week or ...

child’s benefit

Health care; Managed care

In reference to Social Security, a benefit payable to an unmarried child of a retired, disabled, or deceased worker until the child is aged 18 years (or until aged 22 if a full-time student or ...

insolvency clause

Health care; Managed care

In reinsurance, a clause that holds the reinsurer liable for its share of loss assumed under the treaty, even though the primary insurer is insolvent.

umpire clause

Health care; Managed care

In some insurance policies, a provision that, in the event the insured and the insurance company cannot agree on a claim settlement, each party is to select an arbitrator, and the two arbitrators ...

In superimposed major medical plans, a deductible amount between the benefits paid by the basic health insurance plan and those paid by major medical. All or part of the integrated deductible may be ...

amendments and corrections

Health care; Managed care

In the final HIPAA privacy rule, an amendment to a record would indicate that the data is in dispute while retaining the original information, whereas a correction to a record would alter or replace ...