Definitions for "Medical management"
Formal processes and systems utilized to help assure that members receive timely and appropriate health care and services.
An integrated working relationship between the managed care organization and the healthcare providers whereby medical protocols are established for the delivery of quality health care and the most positive clinical outcomes.
The protocols established and used by the Plan to ensure the Medical Necessity and Appropriateness of a selected procedure, treatment or other healthcare service based on the Plan's approved criteria.
treating disease with medicine instead of surgery