Managed care

Managed care

A health care practice intended to streamline services and provide high quality, cost-effective care.

Contributors in Managed care

Managed care

A provision in some health insurance contracts that requires an insured to be confined to the house to be eligible for benefits. This provision is most commonly found in policies providing loss of ...

return for no claim

Health care; Managed care

A provision in some health policies stating that if no claims have been paid during the term of the policy (or aft er the policy has been in force for a specified time), the insurance company will ...

capital gains tax

Health care; Managed care

A provision in the federal income tax law that previously subjected profits from the sale of capital assets to less tax than would be required for ordinary income.

gag clause

Health care; Managed care

A provision of a contract between a managed care organization and a health care provider that restricts the amount of information a provider may share with a beneficiary or that limits the ...

shared savings

Health care; Managed care

A provision of most prepaid health care plans in which at least part of the providers’ income is directly linked to the financial performance of the plan.

prior deductible credit

Health care; Managed care

A provision that allows a member or family to apply any deductible credit.

recurrent disability provision

Health care; Managed care

A provision that specifies a period of time during which the recurrence of a disability from the same accident or sickness is considered to be a continuation of the prior disability, thereby ...