carve-out


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carve-out

(karv-owt),
That portion of a provider bill denied for payment (for example, by an insurer). The term may be modified by a time period (for example, day c.), for a Sunday when no diagnostic or specific therapeutic activities were undertaken for a hospitalized patient.

carve-out

adjective Referring or pertaining to:
(1) A program that excludes certain services—usually from an organisation’s capitated rate—and tends to focus on one disease in depth;
(2) An arrangement in which some benefits (e.g., mental health) are removed from coverage provided by an insurance plan, but are provided through a contract with a separate set of providers;
(3) A population subgroup for whom separate healthcare arrangements are made.

carve-out

Managed care adjective Referring to
1. A program that excludes certain services—usually from an organization's capitated rate—and tends to focus on one disease in depth.
2. An arrangement in which some benefits–eg mental health are removed from coverage provided by an insurance plan, but are provided through a contract with a separate set of providers.
3. A population subgroup for whom separate health care arrangements are made.

carve-out

(kahrv'owt)
Portion of a health care provider's charges denied for payment (e.g., by an insurer).
References in periodicals archive ?
The carve-out phase generates cash that can be used to retire debt, increase cash for investment or cash-out insiders.
Similar to the limitations for the waste carve-out, the typical carve-out for misrepresentation should also be limited to "material' misrepresentation by a borrower or its principals in connection with the subject loan and, to the extent possible, should be limited to "intentional" acts.
The return of the parent firm's stock during the prepricing period incorporates the market reaction to the carve-out announcement.
Keeping in mind this finding on the similarity in the patterns of substitution among the general and Medicaid populations, in the regression analyses reported below, we will assess the magnitude of market expansion effects relative to the substitution effect between old and new technologies, separately for carve-out and non-carve-out states.
Horizontal carve-outs typically lead to ordinary-income treatment.
As the Upjohn research makes clear, enthusiasm for the carve-out model rests on slim evidence.
An analysis of more than 200 major carve-outs in Europe and the United States during the past 12 years shows that around the time of the announcement only 10 percent of them raised the parents' share price by more than 12 percent.
PCPs affiliated with Jefferson Medical College (Family Medicine and General Internal Medicine practitioners) were surveyed on the nature and quality of consultation and referral practices they had with MH individual providers and carve-out organizations.
An equity carve-out is the sale by a public company of a portion of one of its subsidiaries' common stock through an initial public offering.
Having first established an office in Tokyo in 2000, Carlyle has a long track record of investing in the Japanese market and creating long-term value for Japanese companies, including several carve-outs from large Japanese conglomerates.
First, consistent with our definition of carve-outs, parents must retain 80% or more control in the subsidiary after the carve-out and must remain publicly traded entities.