Managed care definition

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.

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:

Examples of Managed care in a sentence

• For each contract period, the Contractor will meet or exceed the requirements set forth Transitioning to Alternative Payment Methodologies: Requirements for Medicaid Managed Care Partners for the percent of their total payments made to providers using EOHHS approved alternative payment methods.

• EOHHS has sole authority to disenroll members from any of its contracted Medicaid Managed Care Health Plans, subject to the conditions described below.

• Such demonstration will be on the basis of quarterly submissions of the “Alternative Payment Methodology Reporting Template for Managed Care Organizations” (included as ATTACHMENT D to Transitioning to Alternative Payment Methodologies: Requirements for Medicaid Managed Care Partners and EOHHS review of the submitted report.

• The Contractor is required to develop and implement subcontracts with providers including Alternative Payment Methodologies as set forth in Transitioning to Alternative Payment Methodologies: Requirements for Medicaid Managed Care Partners.

• Contractor shall follow the EOHHS policy and procedures document titled, "EOHHS Medicaid Managed Care Organization (MCO) Requirements for Medicaid Member Demographic Changes." Contractor shall have a process for performing outreach calls and an approach for determining a member’s most recent address and accurate address and telephone number.

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.