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Managed care. The term managed care or managed healthcare is used in the United States to describe a group of activities ostensibly intended to reduce the cost of providing health care while improving the quality of that care (managed care techniques).
The provider should have the right to rely upon telephone confirmation of the enrollee's status. Mechanisms for Payment. Probably the key element of the managed care contract for the provider is the mechanism for payment. The contract should state how, when, and what the provider will be paid. The provider's personnel should understand the claims' forms and processing procedures.