Managed Care Programs [programy řízené péče]
- Terms
-
řízená péče
řízená péče - programy
-
Case Management, Insurance
Insurance Case Management
Managed Care
Managed Health Care Insurance Plans
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.
- Annotation
- specify geog
- upřesni geograficky
- DUI
- D008329 MeSH Browser
- CUI
- M0012968
- History note
- 90(88); was see under DELIVERY OF HEALTH CARE 1988-89
- Public note
- 90; was see under DELIVERY OF HEALTH CARE 1988-89
Allowable subheadings
- CL
- classification 3
- EC
- economics 14
- ES
- ethics
- HI
- history 3
- LJ
- legislation & jurisprudence 10
- OG
- organization & administration 36
- ST
- standards 6
- SN
- statistics & numerical data 4
- TD
- trends 10