Medical Management definition

Medical Management means treatment and other necessary activities for providing the medical care to complement the treatment;
Medical Management means an integrated process or system that is designed to assure appropriate utilization of health care resources, in the amount and duration necessary to achieve desired health outcomes, across the continuum of care (from prevention to end of life care).
Medical Management means a program component of Health Plan coverage that may contain multiple systems to manage and ensure all care is appropriate, within the HCA established benefit design, and is medically necessary, effective, and cost-efficient across all medical services, procedures and facilities.

Examples of Medical Management in a sentence

  • The Contractor will provide an array of Disease Management Programs and Self-Help Medical Management Programs.

  • AHS shall at its discretion do the following: Define measurable performance standards for DVHA and its subcontractors in all of the following areas: • Service Accessibility • Enrollee Satisfaction • Quality Assurance & Medical Management, including Long Term Services andSupports under the Choices for Care Program.


More Definitions of Medical Management

Medical Management means activities related to ensuring clients receive necessary medical services. This may include traditional activities, such as integrating disease management into the care of members with multiple chronic illnesses, and non-traditional methods, such as using technology enhanced communication (e.g. texts) or delivering care in alternative formats (e.g. group visits).
Medical Management means administrative activities established by the payor to manage the utilization of services through preservice or postservice reviews. "Medical management" includes, but is not limited to:
Medical Management or “MM” means an integrated process or system that is designed to assure appropriate utilization of health care resources, in the amount and duration necessary to achieve desired health outcomes, across the Continuum of Care (CoC) from prevention to hospice.
Medical Management means a comprehensive program developed and administered by Doctors Health to facilitate the delivery of the highest quality, most appropriate care in a cost effective manner. The components of Medical Management include Referral Management, Utilization Management and Case Management.
Medical Management means to assess, direct, provide, control, or supervise the care and services provided to a patient, either directly or indirectly;
Medical Management means treatment and other necessary activities for providing the medical
Medical Management means treatment including ancillary care.