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

binder

Health care; Managed care

A temporary or preliminary agreement that provides insurance coverage until a policy can be written or delivered.

computer-based patient record (CPR)

A term for the process of replacing the traditional paper-based chart through automated electronic means; generally includes the collection of patient-specific information from various supplemental ...

plan administration

Health care; Managed care

A term oft en used to describe the management unit with responsibility to run and control a managed care plan—includes accounting, billing, personnel, marketing, legal, purchasing, possibly ...

prepayment plans

Health care; Managed care

A term referring to health insurance plans that provide medical or hospital benefits in service rather than dollars, such as the plans offered by various HMOs.

quasi-insurance institutions

Health care; Managed care

A term referring to social insurance plans under government authority and direct supervision that have some but not all of the characteristics of insurance. Examples are Social Security’s old-age and ...

hospital day

Health care; Managed care

A term to describe any 24 hr period commencing at 12:00 a.m., or 12:00 p.m., whichever is used by a hospital to determine a hospital day, during which a patient receives hospital services at the ...

spend down

Health care; Managed care

A term used in Medicaid for persons whose income and assets are above the threshold for the state’s designated medically needy criteria, but are below this threshold when medical expenses are ...