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... > Health Care Economics and Organizations > Economics > Financing, Organized > Insurance > Insurance, Health > Managed Care Programs
... > Behavioral Disciplines and Activities > Behavioral Sciences > Social Sciences > Economics > Financing, Organized > Insurance > Insurance, Health > Managed Care Programs
Health Occupations > Health Services Administration > Patient Care Management > Delivery of Health Care > Managed Care Programs
Health Care Quality, Access, and Evaluation > Delivery of Health Care > Managed Care Programs

Preferred term

Managed Care Programs  

Type

  • mesh:Descriptor

Definition

  • 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.

Broader concept

Narrower concepts

Related concepts

Entry terms

  • Managed Health Care Insurance Plans

Allowable Qualifier(s)

In other languages

  • Programmes de gestion intégrée des soins de santé

    French

  • Programmes de gestion coordonnée des filières de services médicaux
  • Programmes de gestion coordonnée des soins de santé
  • Régimes de gestion intégrée des soins de santé
  • Régimes de soins gérés

URI

http://data.loterre.fr/ark:/67375/JVR-CQJNB3H1-4

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RDF/XML TURTLE JSON-LD Created 5/2/87, last modified 11/3/99