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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.
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- Healthcare Law Websites: ... addresses legal regulatory, compliance, and business challenges facing California physicians and other health care providers (medical groups,
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- Affordable Dental Insurance - Your managed care dental insurance plans site: Affordable Dental Insurance - Your managed care dental insurance plans site
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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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