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  2. What Is Medicare Managed Care? - Healthline

    www.healthline.com/.../medicare-managed-care

    Medicare managed care plans are often known as Medicare Part C or Medicare Advantage plans. Medicare care managed care plans are an optional coverage choice for people with Medicare. Managed care ...

  3. Understanding Medicare Reimbursement & Claims - Healthline

    www.healthline.com/health/medicare/medicare...

    The takeaway. Original Medicare pays for the majority (80 percent) of your Part A and Part B covered expenses if you visit a participating provider who accepts assignment. They will also accept ...

  4. Medicare Guidelines for Inpatient Rehab Coverage - Healthline

    www.healthline.com/health/medicare/medicare...

    In some situations, Medicare requires a 3-day hospital stay before covering rehabilitation. Medicare Advantage plans also cover inpatient rehabilitation, but the coverage guidelines and costs vary ...

  5. Primary and Secondary Payers: How Do They Work With Medicare?

    www.healthline.com/health/medicare/medicare...

    If your primary payer was Medicare, Medicare Part B would pay 80 percent of the cost and cover $80. Normally, you’d be responsible for the remaining $20. If you have a secondary payer, they’d ...

  6. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    The Healthcare Effectiveness Data and Information Set ( HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.

  7. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care ("managed care techniques"). It has become the predominant system of delivering and receiving American ...

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