Normal view
MARC view
Managed Care Programs (Topical Term)
Used for/see from:
- Case Management, Insurance
- Insurance Case Management
- Managed Health Care Insurance Plans
- n: Care, Managed
- n: Managed Care
- n: Managed Care Program
- n: Management, Insurance Case
- n: Program, Managed Care
- n: Programs, Managed Care
specify geog
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.
90(88); was see under DELIVERY OF HEALTH CARE 1988-89