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Health Care > Managed Care
The following information is about Managed Care.
Managed Care Defined
Organized programs designed to control access to impatient and ambulatory health services, to ensure the medical necessity of the proposed service and the delivery of the service at the most efficient and cost effective level of care consistent with high quality. Managed care is essential to the structure of alternative delivery and financing systems, such as health maintenance organizations and preferred provider arrangements. The requirements can also be a component of traditional indemnity or fee-for-service health coverage.
Managed care may include pre-admission or pre-treatment certification, second surgical opinion programs, fee or price negotiation, pre-treatment protocol review, pre-admission testing, continued stay review, discharge planning, and individual/large case management. Failure to comply with managed care requirements or decisions usually reduces health benefit coverage for claims. The penalties may affect both the patient and the provider(s).
This definition is in context to Health Care. See more contextual defintions for Managed Care.
Are you looking for additional Health Care > Managed Care news? Try our new "Managed Care News Focus" area.
Off-site Managed Care Links, User Submitted
The following links have been collected through user bookmark submission in the Managed Care category. Please note, because these resources are off-site we cannot guarantee the accuracy or quality of any information.
Mon Jun 29
- Pritchett and Hull brings People and Health together: Empowering health materials that are the first step for people to start taking control of their diseases and conditions and leading a happier, healthier life. Millions of success stories thanks to inspired people, health professionals and the miraculous power of the body and mind to heal.
Sat Jun 20
Wed Jun 17
- Pay For Play - Pharmaceutical Executive: pay for performance contracting
Sat Jun 6
- Managed Care Contracting - get some help, NOW!: This is a great little small note on the state of the negotiating contracts with Insurance Carriers and the complexity that it now involves in negotiating them for small medical offices.
Fri May 29
Fri May 22
- Managed Care Abstract: NASW reviews the impact of managed care medical models on services with attention to the need for a biopsychosocia l model to replace current practice approaches and seeks to influence managed care administration .
Thu May 21
- Healthy Seasons Offers | Coupons & Mail-in-Refund s: J&J coupon site - managed care, consumer offer
Wed May 20
Thu May 14
Tue May 12
If you would like to find additional social bookmark based links on the topic of we recommend the Open Tag Directory > Managed Care. If you would like to find related tags we recommend Tag Patterns > Managed Care
Off-site Managed Care Research Links
If you still need additional information on Managed Care then we suggest the following off-site resources. Please note, because these resources are off-site we cannot guarantee the accuracy or quality of any information.
- A9 > Managed Care
- Alexa > Managed Care
- Anti-Aging Revolution > Managed Care
- DMOZ > Managed Care
- Feeds Filtered > Managed Care
- Google > Managed Care
- News Meme > Managed Care
- Nuah: News > Managed Care
- The Feed Directory > Managed Care
- OBP > Managed Care
- Open Tag Directory > Managed Care
- Podzy > Managed Care
- Yahoo > Managed Care
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