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FHIR IG Statistics: ValueSet/v3-ManagedCarePolicy

Packagehl7.terminology.r4b
TypeValueSet
Idv3-ManagedCarePolicy
FHIR VersionR4B
Sourcehttp://terminology.hl7.org/http://terminology.hl7.org/6.0.2/ValueSet-v3-ManagedCarePolicy.html
URLhttp://terminology.hl7.org/ValueSet/v3-ManagedCarePolicy
Version3.0.0
Statusactive
Date2014-03-26
NameManagedCarePolicy
TitleManagedCarePolicy
Realmuv
Authorityhl7
Description**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well. Managed care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. *Discussion:* Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.
CopyrightThis material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
v3-ActCodeActCode
v3-ActCodeActCode

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet v3-ManagedCarePolicy

Language: en


Source

{
  "resourceType": "ValueSet",
  "id": "v3-ManagedCarePolicy",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://terminology.hl7.org/ValueSet/v3-ManagedCarePolicy",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.1.11.19860"
    }
  ],
  "version": "3.0.0",
  "name": "ManagedCarePolicy",
  "title": "ManagedCarePolicy",
  "status": "active",
  "experimental": false,
  "date": "2014-03-26",
  "publisher": "Health Level Seven International",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org"
        },
        {
          "system": "email",
          "value": "hq@HL7.org"
        }
      ]
    }
  ],
  "description": "**Definition:** Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.\r\n\r\nManaged care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.\r\n\r\n*Discussion:* Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.",
  "copyright": "This material derives from the HL7 Terminology THO. THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "filter": [
          {
            "property": "concept",
            "op": "is-a",
            "value": "MCPOL"
          }
        ]
      }
    ]
  }
}