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

Medigap policy

Health care; Managed care

A privately purchased insurance policy that supplements Medicare coverage and meets specified requirements set by Federal statute and the National Association of Insurance Commissioners.

side effect

Health care; Managed care

A problem caused by drugs or medical treatment.

hearing

Health care; Managed care

A procedure that gives a dissatisfied claimant an opportunity to present reasons for the dissatisfaction and to receive a new determination based on the record developed at the hearing.

update

Health care; Managed care

A process by which contact, contract, insurance, clinical, and medical plan information is updated in a health insurance management system using Mobile Digital Communications Networks (MDCN), and ...

dialysis

Health care; Managed care

A process by which dissolved substances are removed from a patient’s body by diffusion from one fluid compartment to another across a semipermeable membrane. The two types of dialysis that are ...

A process most states employ, which involves the review and approval of applications from HMOs prior to beginning operation in certain areas of the state. Areas examined by the licensing authority ...