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  2. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    The term managed care or ... or utilization review is the use of managed care techniques such as prior authorization that ... There is a continuum of organizations ...

  3. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.

  4. In early care and education, ACS provides vouchers for children eligible for subsidized care. In 2017, ACS created an entirely new division within the agency called "Child and Family Well-Being." This division focuses on a primary prevention approach, with resources and services to help them prosper.

  5. Vermont health care providers blame prior authorization for ...

    www.aol.com/vermont-health-care-providers-blame...

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  6. Care Continuum Alliance - Wikipedia

    en.wikipedia.org/wiki/Care_Continuum_Alliance

    The Care Continuum Alliance (formerly DMAA: The Care Continuum Alliance [1]) is an industry trade group of corporations and individuals that "promotes the role of population health improvement in raising the quality of care, improving health outcomes and reducing preventable health care costs for individuals with chronic conditions and those at risk for developing chronic conditions". [2]

  7. Health Insurance Portability and Accountability Act - Wikipedia

    en.wikipedia.org/wiki/Health_Insurance...

    Health Insurance Portability and Accountability Act of 1996; Other short titles: Kassebaum–Kennedy Act, Kennedy–Kassebaum Act: Long title: An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use ...

  8. Clinical pathway - Wikipedia

    en.wikipedia.org/wiki/Clinical_pathway

    A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).

  9. Integrated care - Wikipedia

    en.wikipedia.org/wiki/Integrated_care

    Integrated care, also known as integrated health, coordinated care, comprehensive care, seamless care, interprofessional care or transmural care, is a worldwide trend in health care reforms and new organizational arrangements focusing on more coordinated and integrated forms of care provision.