Managed care definition

Managed care means a system that provides the coordinated delivery of services and supports that are necessary and appropriate, delivered in the least restrictive settings and in the least intrusive manner. Managed care seeks to balance three factors:

Managed care means systems or techniques generally used by third-party

Managed care means a system that provides the coordinated delivery of services and supports that are necessary and appropriate, delivered in the least restrictive settings and in the least intrusive manner. Managed care seeks to balance three factors: achieving high-quality outcomes for participants, coordinating access, and containing costs.

Examples of Managed care in a sentence

• All In-Opt Out: The enrollment method for Medicaid SSI that allows members to disenroll from the HMO and return to FFS following a 60 day trial of Managed Care members identified as mandatory by Wisconsin’s State Plan Amendment.

• If the Subcontractor discovers, or is made aware, that an incident of suspected fraud or abuse has occurred, the Subcontractor must report the incident to AHCCCS, Office of Inspector General (AHCCCS/OIG) immediately and to the Managed Care Organization (MCO).

• The attestation form must be submitted quarterly to the HMO’s Managed Care Analyst in the Bureau of Benefits Management (Article VII, J).

• HHSC: Managed Care Compliance & Operations Xxxxxxx Xxxxxxxx 0000 X Xxxxx Xxxx, Mail Code H-000 Xxxxxx, Xxxxx 00000 Fax 000-000-0000 Email XXX_XxxxxxxXxxxXxxxxxxxxxxxx@xxxx.xxxxx.xx.xx MA Dual SNP: Xxxxxxx Xxxxxx 00000 Xxxxxxxxx Xxx., Xxx.

• The problem resolution process shall be consistent with the Placer County Behavioral Health Managed Care grievance/complaint procedure.

More Definitions of Managed care

Managed care means a prepaid, comprehensive system of medical and behavioral health care delivery including preventive, primary, specialty, and ancillary health services.

Managed care means systems or techniques generally used by third-party payors or their agents to affect access to and control payment for health care services and that integrate the financing and delivery of appropriate health care services to covered persons by arrangements with participating providers who are selected to participate on the basis of explicit standards for furnishing a comprehensive set of health care services and financial incentives for covered persons using the participating providers and procedures provided for in the plan;

Managed care means a comprehensive health care delivery system that includes preventive, primary, specialty, and ancillary services. These services are provided through either an MCO or PCCM provider.

Managed care means an integrated system of insurance,

Managed care means providing for the delivery of Medicaid health benefits and

Managed care means systems or techniques generally used

Managed care means systems that integrate the financing and delivery of health care services to covered individuals by means of arrangements with selected providers to furnish comprehensive services to members; establish explicit criteria for the selection of health care providers; have financial incentives for members to use providers and procedures associated with the plan; and have formal programs for quality and medical management and the coordination of care.