reimbursement: managed care
A relatively new term coined originally to refer to the prepaid health care sector, (e.g., HMO's and CMP's). In general, the term refers to a means of providing health care services within a defined network of health care providers who are given the responsibility to manage and provide quality, cost-effective health care. Increasingly, the term is being used by many analysts to include PPO's and even forms of indemnity insurance coverage that incorporate preadmission certification and other utilization controls.*
- Academy of Managed Care Providers
- American Association of Managed Care Nurses
- National Association of Managed Care Physicians
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Books and Other Media: Follow the hypertext link to purchase items. |
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- Meyer, Roger E. & McLaughlin, Christopher J. Between Mind, Brain, and Managed Care - The Now and Future World of Academic Psychiatry Paperback 1998
- Schreter, Robert K. (Editor), et al Managing Care, Not Dollars - The Continuum of Mental Health Services Hardcover 1997
- Werthman, M J Behavioral Managed Care - Strategies for Integrating Behavioral Health Services Hardcover 1997
*Extracted from Family Physicians and Managed Care: A View to the 90's: A View to the 90s (paperback 1993) with permission from American Academy of Family Physicians