Managed Health Care Services definition

Managed Health Care Services means clinical and financial risk assessment and management of healthcare, with a view to facilitating appropriateness and cost effectiveness of relevant health services within the constraints of what is affordable, through the use of rules-based and clinical management-based programmes. Also refer to Part II;
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Managed Health Care Services means clinical and financial risk assessment and management of health care, with a view to facilitating appropriateness and cost effectiveness of relevant health services within the constraints of what is affordable, through the use of rules, clinical management and system-based initiatives and programmes;
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Examples of Managed Health Care Services in a sentence

  • However, the entries of the tensor are not arbitrary: clearly the two representations Tijk and T˜ij k are related by a linear transformation and denotation as ‘tensor’ rather than ‘array’ or ‘matrix’ reflects this property.

  • Attention given to citizenship education is particularly apparent in the lower grades of primary education.

  • The UT Medical Branch received $299 million in payments from the Correctional Managed Health Care Committee for fiscal year 2006.Correctional Managed Health Care Services Provided bythe UT Medical BranchThe University of Texas Medical Branch at Galveston (UT Medical Branch) provides managed health care to offenders in more than 100 adult and juvenile correctional facilities throughout the state.

  • Chapter 4The Health Sciences Center Had Adequate Processes for Its Costs Associated With Correctional Managed Health Care Services Chapter 4 Rating:Low 18The Health Sciences Center’s processes ensured that it complied with its TDCJ-Health Sciences Center contract (Contract), as well as reporting requirements.The Health Sciences Center ensured that its Program medical service payments, pharmaceutical purchases, and salary transactions adhered to contract requirements.Medical Services.

  • Schemes Managed Health Care Services- Chronic Disease Management programme.

  • The Commission is also tasked to ensure compliance with health, safety and environmental standards in petroleum activities in accordance with applicable laws, regulations and agreements set forth by the Republic of Ghana.

  • Court-mandated education reform: The San Francisco experience and the shaping of educational policy after Seattle-Louisville and Ho v.

  • In reference to the previously dismissed scheme, the Inspector noted that the massing and appearance of the existing ‘are in notable contrast to the surrounding taller and generally modern, buildings.’ It is therefore considered that the proposal could comfortably accommodate the additional massing and bulk through the redevelopment of the site.

  • For example, on June 14, 2000, when PacifiCare announced via the PR Newswire its withdrawal from a couple of markets in the Midwest, it stated: HEADLINE: PacifiCare Health Systems Announces Exit From Ohio and Kentucky Markets; Managed Health Care Services Company to Exit Midwest by End of 2000 And Focus on Western United States PacifiCare Health Systems, Inc.

  • Medical Branch - Galveston: Discussion and appropriate action regarding legal issues concerning contracts to provide Correctional Managed Health Care Services to offenders in units operated by the Texas Department of Criminal Justice (TDCJ) No action was taken on this item.

Related to Managed Health Care Services

  • COVERED HEALTHCARE SERVICES means any service, treatment, procedure, facility, equipment, drug, device, or supply that we have reviewed and determined is eligible for reimbursement under this plan.

  • PREVENTIVE CARE SERVICES means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3. PRIMARY CARE PROVIDER (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Health care provider or "provider" means:

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).