《英文msh詞典》Case Management,Insurance
[同義詞] Case Management,Insurance
[主題詞] Managed Care Programs
[中文釋義] 病例管理,保險
[英文釋義] 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.