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Glossary of Managed Care Terms
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| T |
| Tertiary
Care |
Top |
Services
provided by highly specialized providers such as
neurosurgeons, thoracic surgeons and intensive
care units. These services often require highly
sophisticated technology and facilities. |
| Third
Party Administrator (TPA) |
Top |
An
organization that administers health care
benefits, mostly for self-insured employers.
Services may include claims review and claims
processing. |
| Third-Party
Payment |
Top |
(a)
Payment by a financial agent such as an HMO,
insurance company or government rather than
direct payment by the patient for medical care
services.
(b) The payments for health care when the
beneficiary is not making payment, in whole or
in part, in his own behalf. |
| Total
Budget |
Top |
Otherwise
known as a "global" budget, a cap on
overall health spending. |
| Transfer |
Top |
Movement
of a patient between hospitals or between units
in a given hospital. n Medicare, a full DRG rate
is paid only for transferred patients that are
defined as discharged. |
| Treatment
Episode |
Top |
The
period of treatment between admission and
discharge from a modality, e.g., inpatient,
residential, partial hospitalization, and
outpatient. Many healthcare statistics and
profiles use this unit as a base for
comparisons. |
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