managed care programs

Preferred Label : managed care programs;

MeSH 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.;

MeSH synonym : managed care program; program, managed care; programs, managed care; managed health care insurance plans;

MeSH Hyperonym : managed care; Care, Managed;

MeSH hyponym : insurance case management; Case Management, Insurance; Management, Insurance Case;

MeSH annotation : specify geog;

Details

Origin ID

D008329;

UMLS CUI

C0024679;

Allowable qualifiers
- classification [MeSH Qualifier]
- economics [MeSH Qualifier]
- ethics [MeSH Qualifier]
- history [MeSH Qualifier]
- legislation and jurisprudence [MeSH Qualifier]
- organization & administration [MeSH Qualifier]
- standards [MeSH Qualifier]
- statistics and numerical data [MeSH Qualifier]
- trends [MeSH Qualifier]
Automatic exact mappings (from CISMeF team)
- Care coordinator (occupation) [SNOMED CT concept]
- Care management [LOINC component]
- Care manager (occupation) [SNOMED CT concept]
- Care regimes management (procedure) [SNOMED CT concept]
- Case Management Nurse [NCIt concept]
- Managed Care [NCIt concept]
- care manager [Q-code]
- managed care [MedlinePlus Topic]
- managed care [NCCMERP Descriptor]
- managed care [NCCMERP Descriptor]
False automatic mappings
- care manager [Q-code]
MedlinePlus topic(s)
- managed care [MedlinePlus Topic]
Ne pas confondre avec
- managed competition [MeSH Descriptor]
Record concept(s)
- insurance case management [MeSH concept]
- managed care [MeSH concept]
- managed care programs [MeSH concept]
See also
- case management [MeSH Descriptor]
- cost sharing [MeSH Descriptor]
- risk sharing, financial [MeSH Descriptor]
See also (suggested by CISMeF)
- delivery of health care, integrated [MeSH Descriptor]
Semantic type(s)
- Health Care Activity [UMLS semantic type]

Keyword's position in hierarchy(ies) :

Main resources

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