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;
Sample 1Sample 2Sample 3
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;
Sample 1Sample 2

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.

  • Don’t Leave the Country / Province Without Travel Insurance NSED Travel Insurance FAQ’s NSED Travel Insurance NSTU Group Insurance Travel Renewal FAQ’s How to Submit a Medoc Travel Claim Out of Province / Canada Travel Presentation March 1, 2016 Managed Health Care Services Inc.

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

  • Sunu Assurances Nigeria Plc (the Company) has two subsidiaries namely: EA Capital Management Limited (wholly owned) which was incorporated on 29 October 2008 and Sunu Health Nigeria Limited ( formerly Managed Health Care Services Limited) (67.3% owned) which was incorporated on 11 December 1997.

  • The parties acknowledge that the term "Managed Care Agreement" in this Section means the proposed Agreement for Managed Health Care Services for 1999, as it may be amended or supplemented in the future.

  • These financial statements are the consolidated financial statements of Sunu Assurances Nigeria Plc, a Company incorporated in Nigeria and its subsidiaries, namely EA Capital Management Limited and SUNU Health Nigeria Limited (formerly Managed Health Care Services Limited) (hereafter referred to as ' the Group').Sunu Assurances Nigeria Plc formerly Equity Assurance Plc (the Company) emerged as a result of the merger between Equity Indemnity Insurance Limited and First Assurance Plc.

  • Supervisor Dix moved that the Board approve the award of a contract for Managed Health Care Services, on behalf of both the County Government and the Fairfax County Public Schools (FCPS), to Blue Cross Blue Shield of the National Capital Area for a total administrative fee not to exceed $4 million during the initial three-year period of the contract.

Related to Managed Health Care Services

  • Health care services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

  • Home health care services means medical and nonmedical services, provided to ill, disabled or infirm persons in their residences. Such services may include homemaker services, assistance with activities of daily living and respite care services.

  • Healthcare services means any services included in the furnishing to any individual of medical, podiatric, or dental care, or hospitalization, or incident to the furnishing of that care or hospitalization, and the furnishing to any person of any and all other services for the purpose of preventing, alleviating, curing, or healing human illness, injury, or physical disability. Medically Necessary means medical, surgical, or other services required for the prevention, diagnosis, cure, or treatment of a health-related condition, including such services necessary to prevent a decremental change in either medical or mental health status. Originating Site means a site at which a patient is located at the time Healthcare Services are provided to them by means of telemedicine, which can be include a patient's home where Medically Necessary and Clinically Appropriate. Store-and-forward Technology means the technology used to enable the transmission of a patient's medical information from an Originating Site to the Healthcare Provider at the Distant Site without the patient being present. Telemedicine means the delivery of clinical Healthcare Services by use of real time, two-way synchronous audio, video, telephone-audio-only communications or electronic media or other telecommunications technology including, but not limited to: online adaptive interviews, remote patient monitoring devices, audiovisual communications, including the application of secure video conferencing and store-and-forward technology to provide or support healthcare delivery, which facilitate the assessment, diagnosis, counseling and prescribing treatment, and care management of a patient’s health care while such patient is at an Originating Site and the Healthcare Provider is at a Distant Site, consistent with applicable federal laws and regulations. “Telemedicine” does not include an email message or facsimile transmission between a Provider and patient, or an automated computer program used to diagnose and/or treat ocular or refractive conditions. General Requirements

  • Personal care services means both physical assistance and prompting and supervising the performance of direct personal care tasks as determined by the resident's needs and does not include as- sistance with tasks performed by a licensed health professional.

  • Health care provider or "provider" means:

  • Health care professional means a physician or other health care practitioner licensed, accredited or certified to perform specified health care services consistent with state law.