Managed care is a way of providing health care that focuses on wellness and preventive care and seeks to reduce costs by coordinating care through a primary care physician, such as a family physician, who serves as a "gatekeeper " Many Medicaid beneficiaries in New York must join a Medicaid managed care plan (
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[PDF] Managed care - WHO World Health Organization
The health plan, in turn, contracts with purchasers of care (public or private) to provide a defined set of services at a prepaid per capita price (capitation) on a per
[PDF] Managed Care - The Nuffield Trust
There are two schools of thought about the means to control health care expenditure: those who argue that competition and/or a regulated market can, by
[PDF] Understanding Managed Care
Managed care is a way of providing health care that focuses on wellness and preventive care and seeks to reduce costs by coordinating care through a primary care physician, such as a family physician, who serves as a "gatekeeper " Many Medicaid beneficiaries in New York must join a Medicaid managed care plan (
[PDF] THE MANAGED CARE ANSWER GUIDE
is a dictionary of selected health insurance and medical terms to aid those searching for a health plan and for reference after choosing a plan □ PART II entitled A
[PDF] Managed Care Terminology - CARES Foundation
GRIEVANCE PROCEDURE: Defined process in a health plan for consumers or providers to use when there is a disagreement about a plan's services, billings, or
[PDF] Definitions Used in Managed Care - Sacramento County
Services are provided by the Primary Care Physician (PCP) or by a PCP- supervised Beneficiary Assignment means the act of Department of Health Care Services
[PDF] Care Management Definition and Framework - Center for Health
Health Care Strategies, Inc growing number of state Medicaid programs are expanding managed care programs for SSI-eligible adults These states are
[PDF] MANAGED CARE: THE SOUTH AFRICAN CONTEXT - Mediscor
Managed health care means “clinical and financial risk assessment and management of health care with a view to facilitating appropriateness and cost
[PDF] Glossary of Insurance/Managed Care Terms - NATA
Any willing provider law - Laws that require managed care plans to contract with all large group may be defined as more than 250, 500, 1,000, or some other
[PDF] managed care organizations
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