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

lock-in

Health care; Managed care

A contractual provision by which members, except in cases of urgent or emergency need, are required to receive all their care from the network health care providers.

basic benefits package

Health care; Managed care

A core set of health benefits everyone would have, either through an employer, a government program, or a risk pool. Most health reform proposals include a basic benefits package.

A corporation, association, or fraternal benefit society engaged primarily in the business of furnishing insurance protection to the public. Accepts various perils, hazards, and risks of an insured ...

actuarial cost

Health care; Managed care

A cost derived through the use of actuarial present values.

uncovered expense

Health care; Managed care

A cost incurred by the patient that his or her insurance policy or HMO contract does not cover and was unknown previously.

copayment

Health care; Managed care

A cost-sharing arrangement in which the HMO enrollee pays a specified flat amount for a specific service (such as $30.00 for an office visit or $18.00 for each prescription drug). The amount paid ...

copay

Health care; Managed care

A cost-sharing arrangement in which the HMO enrollee pays a specified flat amount for a specific service (such as $30.00 for an office visit or $18.00 for each prescription drug). The amount paid ...