How managed care works.
Managed health care usually has been described as successful if, in some way, it has caused restraint or moderation in the increases in health care spending. Using managed care effectively, however, depends on an understanding of how health care providers traditionally have been reimbursed--and how the system is changing.
D002204:Capitation Fee; D003695:Delivery of Health Care; D006264:Health Benefit Plans, Employee / Q000191:economics; D006279:Health Maintenance Organizations / Q000191:economics*; D007348:Insurance, Health / Q000191:economics*; D008329:Managed Care Programs; D008962:Models, Theoretical; D011243:Preferred Provider Organizations / Q000191:economics*; D011445:Prospective Payment System; D014481:United States