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

VIS major

Health care; Managed care

Act of God accident in which no one is responsible.

Occupational Safety & Health Act (OSHA)

Health care; Managed care

Act passed by U.S. Congress that became effective in April 1971. It is found in the Code of Federal Regulations, Title 29, Chapter XVII, Part 1910. Its purpose is to reduce occupational hazards ...

reopening

Health care; Managed care

Action taken, aft er all appeal rights are exhausted, to reexamine or question the correctness of a determination, a decision, or cost report otherwise final.

condition

Health care; Managed care

Actions an insured must take to keep a policy in force (i.e., pay health or disability insurance premiums). A provision in a contract that has the effect of modifying, suspending, or revoking the ...

Actions taken to reduce susceptibility or exposure to health problems (primary prevention), detect and treat disease in early stages (secondary prevention), or alleviate the effects of disease and ...

prevention measures

Health care; Managed care

Actions taken to reduce susceptibility or exposure to health problems, to detect and treat disease in early stages, or to alleviate the effects of disease and injury.

quality assurance (QA)

Health care; Managed care

Activities and programs intended to assure the quality of care in a defined medical setting. Such programs include peer or utilization review components to identify and remedy deficiencies in ...