Managed care A system of health care that combines delivery and payment; and influences utilization of services, by employing management techniques designed to promote the delivery of cost-effective health care. |
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Managed health care plan An arrangement that integrates financing and management with the delivery of health care services to an enrolled population. It employs or contracts with an organized system of providers which delivers services and frequently shares financial risk. |
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Manipulation (UroLume) Applying pressure to the area where the prosthesis is located. |
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Medicare supplement policy A health insurance policy that pays certain cost not covered by Medicare such as coinsurance, deductibles. |
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Menopause Stage in life when the monthly cycles stop. |
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Menorrhagia Excessive uterine bleeding occurring at regular intervals. |
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Menstrual cycle Cyclical growth and destruction of the endometrium each month. |
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Metromenorrhagia Abnormal flow of blood from the uterus occurring at irregular intervals. |
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Microwave energy High frequency electrical energy, generally above 900 MHz. |
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Migration Migration is the movement of an implanted device or component within the body space away from where they were originally placed. If migration occurs, it can cause pain, psychological/medical complications or device malfunction. |
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Mixed incontinence Combination of stress and urge incontinence. |
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Myoma (fibroid) A tumor made up of muscular elements: Intramural - located within the myometrium of the uterus, Pedunculated - connected to the intrauterine wall or the serosal surface of the uterus by a pedicle or stalk., Submucous Fibroid - located on the inner lining of the uterus, Subserous Fibroid - located on the serosal surface of the uterus (outer surface), Transmural Fibroid - lies within several levels of the uterine wall. |
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Myomectomy Surgical removal of a benign tumor of the uterine muscle. |
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Myometrium Middle muscular portion of the uterus that comprises the bulk of the uterine wall. |
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Network Model HMO A health care model in which the HMO contracts with more that one physician group or IPA, and may contract with single and multi-specialty groups that work out of their own office facility. The network may or may not provide care exclusively for the HMO's members. |
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Nocturia Getting up to go to the bathroom at night. |
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Obstruction (urethral) A blockage of the urethra that restricts the flow of urine out of the body. |
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Open access A term describing a member's ability to self-refer for specialty care. Open access arrangements allow a member to see a participating provider without a referral from another doctor. Also called open panel. |
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Open enrollment period A period during which subscribers in a health benefit program have an opportunity to select among health plans being offered to them, usually without evidence of insurability or waiting periods. |
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Open prostatectomy The prostate gland is removed through a surgical cut in the abdomen. |
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Operative hysteroscopy Procedure / scope used with the capability of having instruments attached or delivered through channels in order to perform functions within the uterus. |
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Ostomy A surgically constructed opening in the abdominal wall that permits the passage of stool from the intestines to the outside of the body. |
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Out-of-pocket expenses Costs borne by the member that are not covered by health care plan. |
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Out-of-pocket maximum A limit on all of the insured's out-of-pocket expenses (including deductibles and co-payments) for treatment of illness or injury. At this point, the insurance company will begin covering 100 percent of the charges. If you use non-network providers, the out-of-pocket maximum could be as high as $10,000. |
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Outcome measurement A process of systematically measuring individual or collective clinical treatment and response to that treatment. |
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Overflow incontinence Leakage that occurs when the quantity of urine produced exceeds the bladder's capacity for storage. |
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