Transcription of TABLE OF CONTENTS - Patient Advocate
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TABLE OF CONTENTSINTRODUCTION..2 PART I: UNDERSTANDING managed care TERMINOLOGY..2 Description of managed care ..2 managed care Organizations ..3 Common Definitions for Types of managed care ..4 managed care Payment Methods ..5 Specific Features of Health Maintenance Organizations ..6 HMO Organizational Models..7 Glossary of managed care Definitions ..7 PART II: A CONSUMER GUIDE TO SELECTING AN INSURANCE PLAN..15 Navigating Your Plan ..16 Evaluating managed care Plans ..17A. Benefits Offered or Covered Services ..17B. Cost vs. Benefits ..19C. Services of the Primary care Physician ..19D. Prescription Drug Benefits ..21E. Provider Network and Geographic Service Area.
Hospitals, physicians, laboratories, and clinics comprise the managed care provider organization. “Center of Excellence” is a designation assigned by managed care
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The Origins of Managed Health Care, Jones &, Managed care, FRAUD AND ABUSE IN MANAGED LONG TERM CARE, Care, Managed care: the US experience, Managed, Managed Care Request for Proposal, Health Care Terminology Glossary, Managed-Care Contracts: What You Need, Managed Care Operations Memorandum General, Managed Care Operations Memorandum General Operations MCOPS