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DeCS
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Descriptor English:
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Managed Care Programs
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Descriptor Spanish:
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Programas Controlados de Atención en Salud
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Descriptor Portuguese:
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Programas de Assistência Gerenciada
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Synonyms English:
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Managed Care
Care, Managed
Managed Care Program
Management, Insurance Case
Program, Managed Care
Programs, Managed Care
Case Management, Insurance
Insurance Case Management
Managed Health Care Insurance Plans
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Tree Number:
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N03.219.521.576.343.800
N04.590.374.410
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Definition English:
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Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS. |
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Indexing Annotation English:
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specify geog
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History Note English:
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90(88); was see under DELIVERY OF HEALTH CARE 1988-89
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Allowable Qualifiers English:
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Record Number:
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28152
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Unique Identifier:
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D008329
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Occurrence in VHL:
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Similar:
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DeCS CID-10 LILACS
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