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Managed Care Programs MeSH Descriptor Data 2022


MeSH Heading
Managed Care Programs
Tree Number(s)
N03.219.521.576.343.800
N04.590.374.410
Unique ID
D008329
RDF Unique Identifier
http://id.nlm.nih.gov/mesh/D008329
Annotation
specify geog
Scope Note
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.
Entry Term(s)
Case Management, Insurance
Insurance Case Management
Managed Care
Managed Health Care Insurance Plans
NLM Classification #
W 130
Public MeSH Note
90; was see under DELIVERY OF HEALTH CARE 1988-89
History Note
90(88); was see under DELIVERY OF HEALTH CARE 1988-89
Date Established
1990/01/01
Date of Entry
1987/05/02
Revision Date
1999/11/03
Managed Care Programs Preferred
Managed Care Broader
Insurance Case Management Narrower
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