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

sliding scale deductible

Health care; Managed care

A deductible that is not set at a fixed amount, but rather varies according to income.

Medicare choices demonstration

A demonstration project designed to offer flexibility in contracting requirements and payment methods for Medicare’s managed care program. Participating plans include providersponsored organizations ...

enrolled dependent

Health care; Managed care

A dependent that is enrolled for coverage under the health plan’s contract.

amendment

Health care; Managed care

A description of additional provisions attached to a contract. An amendment is valid only when signed by an officer of a health care insurance company.

before-and-after design evaluation

Health care; Managed care

A design in which only a few before-intervention and aft er-intervention health care measures are taken.

back-up provider

Health care; Managed care

A designated substitute for a primary care provider who will render treatment in the event the primary care provider is not available. The back-up provider performs the same function as the primary ...

fellow of the society of actuaries (FSA)

Health care; Managed care

A designation given to members of the Society of Actuaries, earned by the completion of 10 examinations in mathematics, statistics, insurance, actuarial science, accounting, finance, and employee ...