| 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 |
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| D003254 |
Consumer Advocacy |
The promotion and support of consumers' rights and interests. |
Public Advocacy,Advocacies, Consumer,Advocacies, Public,Advocacy, Consumer,Advocacy, Public,Consumer Advocacies,Public Advocacies |
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| D005249 |
Fees and Charges |
Amounts charged to the patient as payer for health care services. |
Charges,Charges and Fees,Fees,Charge,Fee |
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| D014342 |
Truth Disclosure |
Truthful revelation of information, specifically when the information disclosed is likely to be psychologically painful ("bad news") to the recipient (e.g., revelation to a patient or a patient's family of the patient's DIAGNOSIS or PROGNOSIS) or embarrassing to the teller (e.g., revelation of medical errors). |
Disclosure, Truth,Disclosure, Error,Disclosures, Error,Disclosures, Truth,Error Disclosure,Error Disclosures,Truth Disclosures |
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| D014481 |
United States |
A country in NORTH AMERICA between CANADA and MEXICO. |
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| D018166 |
Health Care Reform |
Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services. |
Healthcare Reform,Health Care Reforms,Healthcare Reforms,Reform, Health Care,Reform, Healthcare,Reforms, Health Care,Reforms, Healthcare |
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| D019461 |
Employee Retirement Income Security Act |
A 1974 Federal act which preempts states' rights with regard to workers' pension benefits and employee benefits. It does not affect the benefits and rights of employees whose employer is self-insured. (From Slee & Slee, Health Care Reform Terms, 1993) |
ERISA,Public Law 93-406,United States Employee Retirement Income Security Act,PL 93-406,PL93-406,Public Law 93 406 |
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