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Glossary of Managed Care Terms

[ A | B | C | D | E | F | G | H | I | J | K | L |
| M | N | O | P | Q | R | S | T | U | V | W  ]


N
National Committee for Quality Assurance (NCQA)
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A non-profit organization created to improve patient care quality and health plan performance in partnership with managed care plans, purchasers, consumers, and the public sector.
Neonatal Intensive Care Unit (Neo ICU)
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A hospital unit with special equipment for the care of premature and seriously ill newborn infants.
Network Model HMO
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A health plan that contracts with multiple physician groups to deliver health care to members. Generally limited to large single or multi-specialty groups. Distinguished from group model plans that contract with a single medical group, IPA's that contract through an intermediary and direct contract model plans that contract with individual physicians in the community.
Non-Plan Provider
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A health care provider without a contract with an insurer. Similar to a nonparticipating provider under Medicare.


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OPGA: The Orthotic and Prosthetic Group of America
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