Concept information
Preferred term
decisions faced by nongovernment payers of healthcare: managed care
Definition
- The concept of private indemnity insurance in healthcare refers to a fee-for-service plan where beneficiaries are compensated for their out-of-pocket costs, up to the limiting amount of the insurance policy. Unlike managed care organizations (MCOs), which overlay tools to control the utilization and cost of services, private indemnity insurance policies allow beneficiaries unrestricted provider choice and reimburse providers on a fee-for-service basis. [Source: Encyclopedia of Medical Decision Making; Decisions Faced by Nongovernment Payers of Healthcare: Managed Care]
Broader concept
Belongs to group
URI
https://concepts.sagepub.com/social-science/concept/decisions_faced_by_nongovernment_payers_of_healthcare:_managed_care
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