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managed care

SEE: under care.

managed competition

In health care practice, the requirement that health care organizations compete with one another in the price and quality of delivered services. SEE: managed care; resource-based relative value scale.


(manʹăj-mĕnt) 1. Administration, as of a health care enterprise or one of its functions. 2. Guidance, as of a patient’s treatment. 3. Coping skills or autonomous control, e.g. self-management. Particular kinds of management are listed under the first word. SEE: e.g., case management; risk management; stress management.


(măn-chĕtʹ) [Fr., a cuff] A circular band consisting of microtubules around the caudal pole of developing sperm.


(mănʺkĭ-nēlʹ) [Sp. manzanilla, small apple] A tree, Hippomane mancinella, native to tropical America that contains a milky, poisonous sap. Contact with the sap causes blistering of the skin. The fruit is also poisonous.


(manʹdă-lă) [Sanskrit mandala, circle] An ancient Hindu and Buddhist representation of the universe, used as a focal point for meditation.


(manʹdātʺ) [L. mandatum, a commission] 1. A legal, ethical, or political requirement to execute actions or orders. 2. An order from a higher authority to an officer of a lower court. mandatory (manʹdă-torʺē), adj.

employer m. A requirement of the Patient Protection and Affordable Care Act that most businesses and institutions provide their employees with health care coverage.

individual m. A former requirement of the Patient Protection and Affordable Care Act that most Americans obtain health care coverage. The mandate and associated penalties for nonadherence were repealed in 2019.

mandated treatment

Legally mandated treatment.

mandatory drug testing

(manʹdă-torʺē) The enforced testing of individuals for evidence of drug or alcohol use or abuse. Some state or federal regulatory or licensing agencies require random drug testing of employees in specific industries to ensure public safety and to prevent on-the-job injuries. In addition, some health care professionals who have a history of drug or alcohol abuse may be required to participate in such testing as a means of monitoring compliance with abstinence.

mandatory reporting

(mănʹdă-tŏrʺē) [L. mandatorius, commissioned, obligatory] Legally required notification to a state, federal, or police agency of a criminal act, e.g., domestic violence, or of a disease that poses a menace to public health.


(manʹdĭ-bĕl) [L. mandibula, lower jawbone] The horseshoe-shaped bone forming the lower jaw. SEE: illus.





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