Health Care

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.

National Library of MedicineMedical Subject Headings2026

Structured Summary

Abstract

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.

MeSH Record

Classification

Broader headings

Narrower headings

Related Concepts

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MeSH Record

See Also

MeSH Record

Synonyms

9 entry terms
  • Managed Health Care Insurance Plans
  • Managed Care Program
  • Program, Managed Care
  • Programs, Managed Care
  • Case Management, Insurance
  • Insurance Case Management
  • Managed Care
  • Care, Managed
  • Management, Insurance Case

MeSH Record

Aspects Covered

9 allowable subheadings

Indexed with the subheadings classification, economics, ethics, history, legislation & jurisprudence, organization & administration, standards, statistics & numerical data, trends.

MeSH Record

Indexing Annotation

specify geog

MeSH Record

History Note

90(88); was see under DELIVERY OF HEALTH CARE 1988-89

MeSH Hierarchy

Tree Numbers

  1. N03w.219w.521.576w.343w.800w
  2. N04w.590.374w.410w

MeSH Record

NLM Classification

W 130

AMA Style

References

  1. National Library of Medicine. Managed Care Programs. Medical Subject Headings (MeSH). 2026. Unique ID D008329. http://id.nlm.nih.gov/mesh/2026/D008329
  2. Managed Care Programs. In: Wikipedia. https://en.wikipedia.org/wiki/Managed_care
  3. Managed Care Programs. In: Wikidata. https://www.wikidata.org/wiki/Q1416012