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New managed-care glossary.

P L Grimaldi1

  • 1Birch & Davis Health Management Corp., Silver Spring, Md., USA.

Nursing Management
|April 15, 2000
PubMed
Summary
This summary is machine-generated.

This annual update clarifies managed care terminology, including EverCare and selective provider practices like cherry picking. Understand premium support and specific health plan types such as Special Health Maintenance Organizations (S/HMOs).

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Area of Science:

  • Health Services Research
  • Healthcare Management

Background:

  • The managed care landscape is rapidly evolving.
  • Understanding current terminology is crucial for stakeholders.

Framework:

  • This update provides definitions for key managed care terms.
  • Focuses on concepts like 'cherry picking' and 'premium support'.

Implementation:

  • Explains the implications of specific managed care models, such as EverCare.
  • Details the operational aspects of Special Health Maintenance Organizations (S/HMOs).

Implications:

  • Facilitates clearer communication among healthcare providers, payers, and patients.
  • Aids in navigating the complexities of modern healthcare delivery systems.