refers to a set of medical services that are removed from a basic arrangement In terms of plan benefits, it may refer to a set of benefits that are contracted for separately (e g , mental health/substance abuse services)
An arrangement whereby an employer eliminates coverage for a specific category of services (e g vision care, mental health/psychological services and prescription drugs) and contracts with a separate set of providers for those services according to a predetermined fee schedule or capitation arrangement Carve out may also refer to a method of coordinating dual coverage for an individual
regarding health insurance, an arrangement whereby an employer eliminates coverage for a specific category of services (e g , vision care, mental health/psychological services and prescription drugs), and contracts with a separate set of providers for those services according to a predetermined fee schedule or capitation arrangement Carve out may also refer to a method of coordinating dual coverage for an individual
Refers to separate managed care systems for either services or people and are usually operated within states that mandate managed care enrollment for Medicaid recipients Carve out is often proposed as an interim rather than final solution for specialized services, high-cost populations, or both
An arrangement whereby an employer separates coverage for a specific category of services (e g , vision care, mental health services and prescription drugs) and contracts with a separate set of providers for those services according to a predetermined fee schedule or capitation arrangement Carve out may also refer to a method of coordinating dual coverage for an individual Case: 1) The group purchasing insurance (i e , an employer or union) and 2) a covered instance of sickness or injury
Accessing coverage for a specific type of service through a contract separate from that established with the primary providers
A decision to purchase separately a service which is typically a part of an indemnity a health HMO plan Example: the behavioral health benefit might be carved out to a specialized vendor to supply these services on a stand-alone basis
Services separately designed and contracted to an exclusive, independent provider by a managed care plan For example, psychiatry is often a carved-out service
The practice of having a specific benefit, such as mental health or substance abuse, operated as a distinct program, separate from the general health program
A term used to describe a type of health coverage for Medicare recipients A Medicare Carve-Out plan subtracts or "carves out" Medicare's benefit before making payment
- A managed care plan exception in which certain types of care or groups of patients are not covered or are treated differently by the plan, i e , mental health services or pharmaceutical drugs In most cases services that are "carved out" are not part of capitation payments but are paid on a fee-for-service basis
Specialty health service that a Managed Care Organization obtains for members by contracting with a company that specializes in that service See also carve-out companies
A specific type of spin-off in which the corporate parent consolidates a particular line of business (e g Cantor Fitzgerald's combination of its electronic bond trading units into one subsidiary) and then sells that newly created subsidiary to investors In essence, the company is "carving out" a piece of its business with a specific business focus and selling it to the public to highlight the value of niche business operations within the larger company Usually done in the form of a true spin-off with an independent board and seperate financial statments, but heavy cross ownership by parent Sometimes done in the form of a tracking stock structure (e g AT&T Wireless)
[ 'kärv ] (verb.) before 12th century. Middle English kerven, from Old English ceorfan; akin to Old High German kerban to notch, Greek graphein to scratch, write.