1 / 1
|
DeCS
|
|
|
Descriptor English:
|
|
Managed Care Programs
|
Descriptor Spanish:
|
|
Programas Controlados de Atención en Salud
|
Descriptor Portuguese:
|
|
Programas de Assistência Gerenciada
|
Synonyms English:
|
|
Managed Care
Care, Managed
Managed Care Program
Management, Insurance Case
Program, Managed Care
Programs, Managed Care
Case Management, Insurance
Insurance Case Management
Managed Health Care Insurance Plans
|
Tree Number:
|
|
N03.219.521.576.343.800
N04.590.374.410
|
Definition English:
|
|
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. |
Indexing Annotation English:
|
|
specify geog
|
History Note English:
|
|
90(88); was see under DELIVERY OF HEALTH CARE 1988-89
|
Allowable Qualifiers English:
|
|
|
Record Number:
|
|
28152
|
Unique Identifier:
|
|
D008329
|
Occurrence in VHL:
|
|
|
Similar:
|
|
DeCS CID-10 SciELO LILACS LIS
|