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

  • Department of Managed Health Care Services (DMHC) — The California state agency that oversees health plans that operate as health maintenance organizations (HMOs), which includes most MCPs and MMPs.Demonstration Health Plan — The health plans selected to participate in the duals demonstration.

  • Effective use of Managed Health Care Services: Educational interventions designed to assist Members to effectively use the managed health care system, preventive and primary healthcare services, obstetrical care, and health education services; and appropriately use complementary and alternative care.

  • 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.

  • 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.

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

  • 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.

  • 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.

  • A particular interest is given to the fate of Pathogens, and especially of E.

  • 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.

  • 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.

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.

  • Health care service means that service offered or provided

  • Healthcare services means services or goods provided for

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

  • Health care provider or "provider" means:

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Long-term care services means the services admin- istered directly or through contract by the aging and disability services administration and identified in WAC 388-106- 0015.

  • 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).

  • 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.