shape up, 1  to assume a specific form: The plan is beginning to shape up. 2  to evolve or develop, especially favorably. 3  to improve one's behavior or performance to meet a required standard. 4  to get oneself into good physical condition. ( 5 of longshoremen) to get into a line or formation in order to be assigned the day's work.
The purpose of this article is to provide the reader with a broad overview of managed care, including the scope and complexity of the issues facing nurses and consumers as the health care industry continues to consolidate and shift away from traditional fee-for-service financing.
Managed care is a set of techniques designed to make the providers of health care more accountable for the quality of the health care they deliver, for the real resources they burn in the process and for the claims on the GDP they make to reward themselves for whatever health care they deliver to people.