11 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
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Managed care
health service area (HSA)
Health care; Managed care
A geographic area consisting of one or more contiguous counties designated by the United States Department of Health and Human Services for health planning on a regional basis.
metropolitan statistical area
Health care; Managed care
A geographic area that includes atleast one city with 50,000 or more inhabitants, or a Census Bureaudefined urbanized area of at least 50,000 inhabitants, and a total manpower shortage area ...
health facility planning area (HFPA)
Health care; Managed care
A geographic area that is a subdivision of a health service area .
step care
Health care; Managed care
A graduated treatment protocol indicating to HMO providers the order in which they will administer different therapies for a given condition.
composite rate
Health care; Managed care
A group billing rate that applies to all subscribers within a specified group, regardless of whether they are controlled for single or family coverage.
multi employer health plan
Health care; Managed care
A group health insurance plan sponsored by more than two employers and their related employee benefits organization.
outcome and assessment information set
Health care; Managed care
A group of data elements that represent core items of a comprehensive assessment for an adult home care patient and form the basis for measuring patient outcomes for purposes of outcome-based quality ...
