2 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
conversion plan
Health care; Managed care
A member’s group plan is canceled; the member opts to continue coverage under an individual health or life insurance plan.
unit/day
Health care; Managed care
A meter, volume, or benchmark of health care (office visits, hospital days).
risk sharing
Health care; Managed care
A method by which medical insurance premiums are shared by plan sponsors and participants. In contrast to traditional indemnity plans in which insurance premiums belonged solely to insurance company ...
progressive rates
Health care; Managed care
A method employed by some HMOs in which they implement new rates monthly, quarterly, or semiannually.
age-at-issuance rating
Health care; Managed care
A method for establishing health insurance premiums whereby an insurer’s premium is based on the age of individuals when they first purchased health insurance coverage.
ratio analysis
Health care; Managed care
A method of analyzing a business entities’ financial condition calculated from line items in the financial statements. There are four major categories: (a) liquidity; (b) profitability; (c) ...
reconciliation
Health care; Managed care
A method of applying premiums, dues, or bills to health insurance policies.
