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  2. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

  3. Health administration - Wikipedia

    en.wikipedia.org/wiki/Health_administration

    Iconographic Collections. Keywords: E. Walker; Florence Nightingale; W.J. Simpson. Health administration, healthcare administration, healthcare management or hospital management is the field relating to leadership, management, and administration of public health systems, health care systems, hospitals, and hospital networks in all the primary, secondary, and tertiary sectors.

  4. Healthcare CRM - Wikipedia

    en.wikipedia.org/wiki/Healthcare_CRM

    Healthcare CRM, also known as Healthcare Relationship Management, [1] is a broadly used term for a Customer relationship management system, or CRM, used in healthcare.. There are three (3) generally recognized forms of CRM: Sales, Marketing, and Service [2]

  5. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.

  6. Group purchasing organization - Wikipedia

    en.wikipedia.org/wiki/Group_purchasing_organization

    Group purchasing is used in many industries to purchase raw materials and supplies, but it is especially common practice in the grocery industry, health care, electronics, industrial manufacturing and agricultural industries. In recent years, group purchasing has begun to take root in the nonprofit community. Group purchasing amongst nonprofits ...

  7. Health information management - Wikipedia

    en.wikipedia.org/wiki/Health_information_management

    The patient health record is the primary legal record documenting the health care services provided to a person in any aspect of the health care system. The term includes routine clinical or office records, records of care in any health related setting, preventive care, lifestyle evaluation, research protocols and various clinical databases.

  8. Accountable care organization - Wikipedia

    en.wikipedia.org/wiki/Accountable_care_organization

    An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation. The organization is accountable to ...

  9. Health administration informatics - Wikipedia

    en.wikipedia.org/wiki/Health_Administration...

    This fundamental change in health care (pay for performance) means that hospitals and other health care providers will need to develop, adapt and maintain all of the technology necessary to measure and improve on quality. Physicians have traditionally lagged behind in their use of technology (i.e., electronic patient records).