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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.


Books, etc.