Managed Care Programs
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.
Year introduced: 1990(1988)
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Subheadings:
Tree Number(s): N03.219.521.576.343.800, N04.590.374.410
MeSH Unique ID: D008329
Entry Terms:
- Managed Care Program
- Program, Managed Care
- Programs, Managed Care
- Managed Health Care Insurance Plans
- Managed Care
- Care, Managed
- Insurance Case Management
- Case Management, Insurance
- Management, Insurance Case