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General nature or nature terms.

Contributors in General


Organised care system

Health care; General

Often used to discuss a more evolved form of IDSs and CCNs, this relatively new term describes the result of mergers and alliances between and among physicians, health systems, and managed care ...

Original medicare plan

Health care; General

A fee-for-service health plan that lets enrollees go to any doctor, hospital, or other health care supplier who accepts Medicare and is accepting new Medicare patients. The enrollee must pay the ...

Out of area benefits

Health care; General

Benefits supplied to a patient by a payer or managed care organisation when the patient needs services while outside the geographic area of the network. MCOs often attempt to negotiate a case-by-case ...

Out of network benefits

Health care; General

With most HMOs, a patient cannot have any services reimbursed if provided by a hospital or doctor who is not in the network. With PPOs and other managed care organizations, there may exist a ...

Out of pocket expenses, out of pocket costs

Health care; General

Dollar amounts set by MCOs that limit the amount a member has to pay out of his or her own pocket for particular healthcare services during a particular time period.Costs borne by the member that are ...

Out of pocket limit

Health care; General

A cap placed on out of pocket costs, after which benefits increase to provide full coverage for the rest of the year. It is a stated dollar amount set by the insurance company, in addition to regular ...

Outcome or outcome measures

Health care; General

Healthcare quality indicators that gauge the extent to which healthcare services succeed in improving or maintaining satisfaction and patient health. A clinical outcome is the result of medical or ...

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