Managed Care Programs
Synonyms
Care, Managed
Case Management, Insurance
Insurance Case Management
Managed Care
Managed Care Program
Managed Health Care Insurance Plans
Management, Insurance Case
Program, Managed Care
Programs, Managed Care
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.