Managed Care Programs. 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 . 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. . 1.00
Case Management. A traditional term for all the activities which a physician or other health care professional normally performs to insure the coordination of the medical services required by a patient. It also, when used in connection with managed care, covers all the activities of evaluating the patient, planning treatment, referral, and follow-up so that care is continuous and comprehensive and payment for the care is obtained. (From Slee & Slee, Health Care Terms, 2nd ed) . 0.75
Case Managers. Case Manager . Manager, Case . Managers, Case . Professionals who are in charge of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet a patient's and family's comprehensive health needs. . 0.63
Organizational Case Studies. Case Studies, Management . Studies, Management Case . Studies, Organizational Case . Case Studies, Organizational . Management Case Studies . Descriptions and evaluations of specific health care organizations. . 0.60
