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Vital Signs

Perspectives on Healthcare IT, clinical informatics, emerging technology, and life at the intersection of nursing and enterprise systems.

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October 23, 2026 · Certification Prep, Healthcare IT, HIMSS Word of The Day, Value-Based Care

HIMSS Word of the Day #165: Managed Care

Managed care is an approach to health insurance that combines financing with the organization of care, using provider networks, utilization management, quality programs, and financial incentives to control cost and support appropriate care. This post explains common managed care models, Medicare Advantage and Medicaid managed care, the data and health IT they depend on, criticisms, and nursing roles.

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