See Also: managed care programs(medicine)
care, managed(medicine)
managed care(medicine)
Managed care(health)
Herbal medicine (botanical medicine, herbology, phytomedicine)(health)
Programs(medicine)
Tandem programs(finance)
Tandem programs(money)
self-evaluation programs(medicine)
government programs(medicine)

managed care programs (medicine)


managed care programs
Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as health maintenance organizations and preferred provider organizations.