Mesh term Managed Care Programs
Browse to parent terms:Delivery of Health Care
Insurance, Health
Description
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.Browse to child terms:
Competitive Medical Plans
Health Maintenance Organizations
Independent Practice Associations
Patient Freedom of Choice Laws
Preferred Provider Organizations
Provider-Sponsored Organizations
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