24 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
partial risk contract
Health care; Managed care
A contract between a purchaser and a health plan, in which only part of the financial risk is transferred from the purchaser to the plan.
Medicare risk contract
Health care; Managed care
A contract between Medicare and a health plan under which the plan receives monthly capitated payments to provide Medicare-covered services for enrollees and thereby assumes insurance risk for those ...
blanket insurance
Health care; Managed care
A contract of health insurance that covers all of a class of persons not individually identified in the contract. A group health insurance policy covering a number of individuals who are not ...
conditionally renewable contract
Health care; Managed care
A contract of health insurance that provides that the insured may renew the contract from period to period or continue the contract to a stated date or an advanced age, subject to the right of the ...
group contract
Health care; Managed care
A contract of insurance made with an employer or other entity that covers a group of persons identified in reference to their relationship to the entity. These identified individuals may include ...
favored nations discount
Health care; Managed care
A contractual agreement between a provider and a payer stating that the provider will automatically provide the payer with the best discount it provides anyone else.
hospital affiliation
Health care; Managed care
A contractual agreement between an HMO and one or more hospitals whereby the hospital provides the inpatient benefits offered by the HMO.
