to carve out

English - Turkish

Definition of to carve out in English Turkish dictionary: oluşturmak; biçimlendirmek; yapmak

English - English

Definition of to carve out in English English dictionary: To hollow by carving; To create (a reputation, chance, role, rank, career, victory) by hard work; 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