10 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
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Managed care
provider networks
Health care; Managed care
A preselected list of medical providers who may be chosen by patients in a particular health care or insurance plan.
competitive bidding
Health care; Managed care
A pricing method that elicits information on costs through a bidding process to establish payment rates that reflect the costs of an efficient health plan or health care provider.
freedom of choice
Health care; Managed care
A principle of Medicaid that allows a recipient the freedom to choose among participating medical providers.
regional home health intermediary (RHHI)
Health care; Managed care
A private company that contracts with Medicare to pay home health bills and check on the quality of home health care.
durable medical equipment regional carrier (DMERC)
Health care; Managed care
A private firm that helps pay covered DME bills for covered Medicare patients.
physician practice management corporation
Health care; Managed care
A private or public company that acquires or partners with medical providers, facilities, or entities for profit.
inspection bureau
Health care; Managed care
A private organization in the business of investigating risks for insurance companies.
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