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Managed care providers

Italian translation: provider di assistenza sanitaria

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05:02 Jun 14, 2001
English to Italian translations [PRO]
Medical - Medical: Health Care
English term or phrase: Managed care providers
sales of our products are affected by reimbursement policies imposed by 3rd party payors, including governments, private insurance plans and managed care providers.
Francesca
Italian translation:provider di assistenza sanitaria
Explanation:
è tipico del sistema americano. per ulteriori informazioni, dai un'occhiata qui di seguito...

Managed Care

Systems and techniques used to control the use of health care services. Includes a review of medical necessity,
incentives to use certain providers, and case management. The body of clinical, financial and organizational activities designed to ensure the provision of appropriate health care services in a cost-efficient manner. Managed care techniques are most often practiced by organizations and professionals which assume risk for a defined population (e.g., health maintenance organizations) but this is not always the case. Managed care is a broad term and encompasses many different types of organizations, payment mechanisms, review mechanisms and collaborations. Managed care is sometimes used as a general term for the activity of organizing doctors, ospitals,and other providers into groups in order to enhance the quality and cost-effectiveness of health care. Managed Care Organizations (MCO) include HMO, PPO, POS, EPO, PHO, IDS, AHP, IPA, etc. Usually when one speaks of a managed care organization, one is speaking of the entity which manages risk, contracts with providers,is paid by employers or patient groups, or handles claims processing. Managed care has effectively formed a "go-between", brokerage or 3rd party arrangement by existing as the gatekeeper between payers and providers and patients. The term managed care is often misunderstood, as it refers to numerous aspects of healthcare management, payment and organization. It is best to ask the speaker to clarify what he or she means when using the term "managed care". In the purest sense, all people working in healthcare and medical insurance can be thought of as "managing care." Any system of health payment or delivery arrangements where the plan attempts to control or coordinate use of health services by its enrolled members in order to contain health expenditures,
improve quality, or both. Arrangements often involve a defined delivery system of providers with some form of contractual arrangement with the plan. See Health Maintenance organization, Independent Practice Association,Preferred Provider Organization.

Giovanni
Selected response from:

Giovanni Guarnieri MITI, MIL
United Kingdom
Local time: 00:41
Grading comment
Ti ringrazio ancora una volta!
4 KudoZ points were awarded for this answer

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Summary of answers provided
naprovider di assistenza sanitaria
Giovanni Guarnieri MITI, MIL
nafondi pensione ???
anusca
nacentri medici convenzionati
Laura Gentili


  

Answers


20 mins
centri medici convenzionati


Explanation:
Secondo me, in questo contesto vuol dire semplicemente questo.


Laura Gentili
Italy
Local time: 01:41
Specializes in field
Native speaker of: Native in ItalianItalian
PRO pts in category: 123

Peer comments on this answer (and responses from the answerer)
CLS Lexi-tech
0 min

Giovanna Graziani: esatto!
17 mins
Login to enter a peer comment (or grade)

27 mins
fondi pensione ???


Explanation:
Accantonamenti (risparmi) gestiti per crearsi una pensione integrativa al fine di arrotondare quella che deriva dal rapporto di lavoro ???

It is very much depending on the meaning of CARE!

Assistenza ??? Previdenza sociale (pensione) ???

Rgdrs
anusca

anusca
Italy
Local time: 01:41
Native speaker of: Italian
Login to enter a peer comment (or grade)

43 mins
provider di assistenza sanitaria


Explanation:
è tipico del sistema americano. per ulteriori informazioni, dai un'occhiata qui di seguito...

Managed Care

Systems and techniques used to control the use of health care services. Includes a review of medical necessity,
incentives to use certain providers, and case management. The body of clinical, financial and organizational activities designed to ensure the provision of appropriate health care services in a cost-efficient manner. Managed care techniques are most often practiced by organizations and professionals which assume risk for a defined population (e.g., health maintenance organizations) but this is not always the case. Managed care is a broad term and encompasses many different types of organizations, payment mechanisms, review mechanisms and collaborations. Managed care is sometimes used as a general term for the activity of organizing doctors, ospitals,and other providers into groups in order to enhance the quality and cost-effectiveness of health care. Managed Care Organizations (MCO) include HMO, PPO, POS, EPO, PHO, IDS, AHP, IPA, etc. Usually when one speaks of a managed care organization, one is speaking of the entity which manages risk, contracts with providers,is paid by employers or patient groups, or handles claims processing. Managed care has effectively formed a "go-between", brokerage or 3rd party arrangement by existing as the gatekeeper between payers and providers and patients. The term managed care is often misunderstood, as it refers to numerous aspects of healthcare management, payment and organization. It is best to ask the speaker to clarify what he or she means when using the term "managed care". In the purest sense, all people working in healthcare and medical insurance can be thought of as "managing care." Any system of health payment or delivery arrangements where the plan attempts to control or coordinate use of health services by its enrolled members in order to contain health expenditures,
improve quality, or both. Arrangements often involve a defined delivery system of providers with some form of contractual arrangement with the plan. See Health Maintenance organization, Independent Practice Association,Preferred Provider Organization.

Giovanni


    Reference: http://www.pohly.com/terms_m.shtml
Giovanni Guarnieri MITI, MIL
United Kingdom
Local time: 00:41
Native speaker of: Native in ItalianItalian
PRO pts in category: 4
Grading comment
Ti ringrazio ancora una volta!
Login to enter a peer comment (or grade)




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Changes made by editors
Dec 24, 2005 - Changes made by Laura Gentili:
Field (specific)(none) » Medical: Health Care


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