Any system that manages health care delivery to control costs. Typically, managed care systems rely on a primary care physician who acts as a gatekeeper for other services, such as specialized medical care, surgery, and physical therapy.

Term used to describe the coordination of financing and provision of healthcare to produce high-quality healthcare for the lowest possible cost. A system that imposes control on the utilization of medical services and on the providers who renders the care. Managed care is provided through managed indemnity plans; Preferred Provider Organizations (P [..]

A general term used to describe a variety of healthcare and health insurance systems that attempt to guide a member's use of benefits, typically by requiring that a member coordinate his or her h [..]

Any contractual arrangement where payment or reimbursement and/or utilization are controlled by a third party. The term "managed care" refers to a cost containment system that directs the ut [..]

A process by which the delivery of health care is structured and monitored with the goal of providing medical services that are both appropriate and economically reasonable.

A health care system in which the provider manages the care of the individual for a fixed fee. The opposite of this preventive intervention (or, population-based) approach is fee-for-service. Managed [..]

Strategies used by health plan companies to control the cost of providing health care while providing high quality services.

A system of health care delivery that manages the cost of health care and access to health care professionals.

A type of care where your main doctor, also called a primary care physician (PCP) plays an active role in your care. You may be required to go through your main doctor to get a referral to other types [..]

The reorganization of the health care delivery along corporate lines. (See also Corporate medicine and Health maintenance organizations.)

A method by which insurance carriers attempt to manage healthcare costs by utilizing a pre-selected panel of physicians.

is a system of providing healthcare to an individual whilst taking into account the expenses of the delivery of that healthcare. Early forms of managed care included prepaid healthcare plans, which ha [..]

Managed (health) care is a system of health care now commonplace in the US that attempts to reduce the costs of health care while simultaneously improving the quality of the care. This service model i [..]

system of health care delivery that attempts to influence the utilization, quality, and cost of services provided.

A general term for organizing networks of doctors, hospitals and other providers to deliver high-quality, cost-effective health care. These networks "manage" or control costs in many ways, such as by limiting referrals to costly specialists. HMOs are a common form of managed care.

A health care system integrating the financing and delivery of health care services by a group of providers. In a managed care system, standards are set for efficiency and quality assurance. A coordinated approach to the design, financing and delivery of health care, which balances price and utilization controls with access to care. Also a general [..]

  A contractual arrangement whereby a third party payer ( e.g. an insurance company, government agency, or corporation ) mediates between physicians and patients, negotiating fees for service and over [..]

Insurance managed medical delivery system that manages the quality and cost of medical services. Medicare:

This is a type of health plan. It is an agreement signed with doctors and hospitals to form a network. Members may get a higher level of benefits if they use doctors or hospitals in this network. Cost [..]

A system of health care delivery that tries to manage the cost of health care, the quality of that care and access to that care. Typical characteristics of managed care include a defined network of pr [..]

A health plan that works like an HMO. Covered services are provided by providers who contract with the health plan.

Health care systems that integrate the financing and delivery of appropriate health care services to covered individuals by arrangements with selected providers to furnish a comprehensive set of healt [..]

Arrangement between an employer or insurer and selected providers to provide comprehensive health care at a discount to members of the insured group and coordinate the financing and delivery of health [..]

The integration of both the delivery of healthcare and financing within a system that seeks to manage and organize the accessibility, cost, and quality of that care.

Any form of health plan in which members have access to a network of contracted health care professionals and hospitals, and that requires approval of some services.

A health delivery system that seeks to control access to and usage of health care services both to limit health care costs and to improve the quality of the care provided. Managed care arrangements typically rely on a primary care physician to act as a “gatekeeper” and manage the care a patient receives.

Arrangement between an employer or insurer and selected providers to provide comprehensive health care at a discount to members of the insured group and coordinate the financing and delivery of health [..]

A system of managing and financing health care delivery to ensure that services provided to managed care plan members are necessary, efficiently provided, and appropriately priced.

An insurance plan that requires patients to see doctors and hospitals that have a contract with the managed care company, except in the case of medical emergencies or urgently needed care if you are o [..]

Arrangement between an employer or insurer and selected providers to provide comprehensive health care at a discount to members of the insured group and coordinate the financing and delivery of health [..]

Arrangement between an employer or insurer and selected providers to provide comprehensive health care at a discount to members of the insured group and coordinate the financing and delivery of health [..]

A system of health care that delivers quality, cost effective health care through monitoring and recommending utilization of services and cost of services.

Health care systems that integrate the financing and delivery of appropriate health care services to covered individuals by arrangements with selected providers to furnish a comprehensive set of healt [..]

A health delivery system that seeks to control access to and utilization of health care services both to limit health care costs and to improve the quality of the care provided. Managed care arrangements typically rely on primary care physicians to act as “gatekeepers” and manage the care their patients receive. 

The body of clinical, financial and organizational activities designed to ensure the provision of appropriate health care services in a cost-efficient manner. Managed care techniques are most often practiced by organizations and professionals that assume risk for a defined population (e.g., health maintenance organizations). Managed care is a broad [..]

Arrangement between an employer or insurer and selected providers to provide comprehensive health care at a discount to members of the insured group.

Arrangement between an employer or insurer and selected providers to provide comprehensive health care at a discount to members of the insured group and coordinate the financing and delivery of health [..]

Managed Care is a method of financing and delivering health care for a set fee using a network of physicians and other health care providers who have agreed to the set fees.

Insurance systems in which the insurer plays an active role in overseeing the utilization and quality of service, for example, through health maintenance organizations (HMOs), preferred provider organizations (PPOs) and managed indemnity insurance.

An approach to healthcare delivery based on the concept of prepaid membership rather than payment for service each time care is provided.

A way to finance and deliver health care for a set fee using a defined network of providers. Organizations that deliver managed care are known as MCOs (Managed Care Organizations), HMOs (Health Maintenance Organizations) or PPOs (Preferred Provider Organizations).