About The Medical Condition Insurance Case Management
Find the definition of the medical term Insurance Case Management. Insurance Case Management defined and explained for easy understanding at the Medical Conditions from ClusterMed.info.
Insurance Case Management
Insurance Case Management Medical Condition |
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What's The Definition Of The Medical Condition Insurance Case Management?
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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