MANAGED HEALTH CARE Meaning and
Definition
-
Managed health care refers to a system of organizing and coordinating health care services in order to provide efficient and cost-effective care to individuals. It involves the administration and coordination of medical services, with the primary objective of ensuring high-quality care while controlling health care costs.
In managed health care, health insurance companies or organizations employ various strategies such as utilization management, case management, and disease management to oversee and direct the delivery of care. Utilization management involves monitoring and regulating the use of health care services, ensuring that they are appropriate and necessary. Case management focuses on coordinating care for individuals with complex or chronic conditions, ensuring they receive the proper medical attention and resources. Disease management aims to prevent and control chronic diseases by coordinating treatment plans, patient education, and ongoing support.
Managed health care systems typically operate through networks of health care providers, including physicians, hospitals, and other medical professionals. These providers enter into agreements with insurance companies or organizations to deliver care to members within defined guidelines and parameters. Patients in managed health care plans usually have to adhere to certain rules and restrictions, such as obtaining referrals to see specialists or receiving care from in-network providers, ensuring the organization can effectively control costs and quality.
Overall, managed health care incorporates various strategies, coordination efforts, and cost containment measures to provide comprehensive and effective care to individuals while maintaining affordability for both patients and payers.
Common Misspellings for MANAGED HEALTH CARE
- nanaged health care
- kanaged health care
- janaged health care
- mznaged health care
- msnaged health care
- mwnaged health care
- mqnaged health care
- mabaged health care
- mamaged health care
- majaged health care
- mahaged health care
- manzged health care
- mansged health care
- manwged health care
- manqged health care
- manafed health care
- manaved health care
- manabed health care
- manahed health care
- manayed health care
