features of a dental benefit program or of the administration of the program designed to reduce or eliminate certain charges to the plan.
Efforts by purchasers and by providers to control health care costs through mechanisms such as benefit design, pre-admission certification, pre-admission testing, and concurrent review programs; second opinion programs; discharge planning; claims audits, case management, and employee education.
this phrase became the watch word of the 80's as the cost of medical services rose so rapidly that buyers of insurance called for restrain of charges. Efficiency and reduction of profits were the two main strategies to reduce contain costs. Rationing of services was not openly practiced, but there are examples of denying medical service for the purpose of reducing costs.
Activities like pre-certification, case management, mandatory second opinions and benefit incentives aimed at holding down the cost of medical care or reducing its rate of increase.
Reduction of inefficiencies in the consumption, allocation, or production of health care services. Inefficiencies can occur when health services are used inappropriately, when health services could be delivered in less costly settings, and when the costs could be reduced by using a different combination of resources.
Methods by which an insurance carrier reduces the benefit payment or costs associated with a health plan. Examples of cost containment include UCR fees, preferred provider discounts, and preauthorization requirements for certain services.
A strategy that aims to reduce health care costs and encourages cost-effective use of services.
When the insurance company devises a way to reduce the benefit payment or costs associated with the health plan.
The effort to control the overall cost of the health care delivery system. Government and insurance regulations that endeavor to create a more cost-effective system.
The controller reduction of inefficiencies in the consumption, allocation, or production of health care services that contribute to higher than necessary costs.
These programs which include, for example, precertification of hospital admissions and case management, are designed to help make sure that services are performed at the right time, in the right place and at the right price.
The process by which companies implement new programs or modify existing programs to continuously monitor costs so as to better manage the costs to their business. In the case of pharmacy benefits, this usually refers to providing similar acting drugs at lower costs. For example, switching to Allegra® from Claritin®.
The reduction of unnecessary expenses of reimbursement for health insurance coverage.
Features in a plan of benefits or in the administration of a plan designed to reduce or eliminate certain charges to the plan such as charges for unnecessary surgery or hospital days thus improving the plan's loss experience. Items labeled cost containment features include second surgical opinion, outpatient surgery, hospital bill audit, hospital pre-admission certification, length of stay review, discharge planning, and large case management.
Efforts or activities designed to reduce or slow down the cost increases of medical care services.
Reduction of inefficiencies in the provision, consumption, allocation, production or servicing of insurance services. For example, inefficiencies can occur when health services are used inappropriately; when insurance policy servicing could be delivered in a less costly manner; or when using a different combination of resources could reduce costs.
Strategies used to limit or control costs. Cost containment programs often include requirements by insurance companies for second opinions and pre-admission approvals for hospitalization. Cost containment may also refer to policies developed nationally or statewide to slow the rising expenditures on health care.
This refers to control of the overall cost of health-care services within the health-care delivery system. Costs are contained when the value of resources committed to an activity are not considered to be excessive.