Why and how managed care is prompting reforms in your institution. 1995

W C McGinly

UI MeSH Term Description Entries
D008329 Managed Care Programs 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. Case Management, Insurance,Insurance Case Management,Managed Health Care Insurance Plans,Managed Care,Care, Managed,Managed Care Program,Management, Insurance Case,Program, Managed Care,Programs, Managed Care
D009936 Organizational Innovation Introduction of changes which are new to the organization and are created by management. Organizational Change,Change, Organizational,Innovation, Organizational,Changes, Organizational,Innovations, Organizational,Organizational Changes,Organizational Innovations
D011787 Quality of Health Care The levels of excellence which characterize the health service or health care provided based on accepted standards of quality. Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
D005653 Fund Raising Usually organized community efforts to raise money to promote financial programs of institutions. The funds may include individual gifts. Philanthropic Funds,Fund, Philanthropic,Funds, Philanthropic,Philanthropic Fund
D006273 Health Facility Merger The combining of administrative and organizational resources of two or more health care facilities. Acquisition, Health Facility,Health Facility Acquisition,Hospital Merger,Merger, Health Facility,Acquisitions, Health Facility,Facility Acquisition, Health,Facility Acquisitions, Health,Facility Merger, Health,Facility Mergers, Health,Health Facility Acquisitions,Health Facility Mergers,Hospital Mergers,Merger, Hospital,Mergers, Health Facility,Mergers, Hospital
D006754 Hospital Restructuring Reorganization of the hospital corporate structure. Hospital Diversification,Hospital Reorganization,Diversification, Hospital,Reorganization, Hospital,Restructuring, Hospital,Hospital Reorganizations,Hospital Restructurings,Reorganizations, Hospital,Restructurings, Hospital
D006788 Hospitals, Voluntary Private, not-for-profit hospitals that are autonomous, self-established, and self-supported. Hospitals, Private, Not-for-Profit,Hospitals Privates, Not-for-Profit,Not-for-Profit Hospitals Private,Not-for-Profit Hospitals Privates,Private, Not-for-Profit Hospitals,Voluntary Hospitals,Hospital, Voluntary,Hospitals Private, Not-for-Profit,Hospitals Privates, Not for Profit,Not for Profit Hospitals Private,Not for Profit Hospitals Privates,Private, Not for Profit Hospitals,Privates, Not-for-Profit Hospitals,Voluntary Hospital
D017046 Cost Savings Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer. Cost Saving,Saving, Cost,Savings, Cost

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