23 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
most favored nation clause
Health care; Managed care
A provider clause stipulating that the latter will not pay the provider more than the lowest discounted price the provider gives to any other health plan.
supplier
Health care; Managed care
A provider of health care services, other than a practitioner, that is permitted to bill under Medicare Part B. Suppliers include independent laboratories, durable medical equipment providers, ...
disability premium waiver insurance
Health care; Managed care
A provision (sometimes included automatically, sometimes optional and requiring an additional premium) in a life insurance contract or rider that provides that no further premiums will be due during ...
waiver of premium provision
Health care; Managed care
A provision available in many life insurance policies and in disability income health policies that exempts the insured from the payment of premiums aft er he or she has been disabled for
switch maternity
Health care; Managed care
A provision for group health maternity coverage on female employees only when their husbands are included in the plan as dependents.
swap maternity
Health care; Managed care
A provision granting immediate maternity coverage in a group health insurance plan but terminating coverage on pregnancies in progress upon termination of the plan. The term swap means providing the ...
percentage participation
Health care; Managed care
A provision in a health insurance contract that states that the insurer will share losses in an agreed proportion with the insured. An example would be an 80–20 participation where the insurer pays ...
