695G.040 - “Managed care” defined. - Nevada Statutes

695G.040  “Managed care” defined.  “Managed care” means a system for delivering health care services that encourages the efficient use of health care services by using employed or independently contracted providers of health care and by using various techniques which may include, without limitation:

      1.  Managing the health care services of an insured who has a serious, complicated, protracted or other health-related condition that requires the use of numerous providers of health care or other costly services;

      2.  Providing utilization review;

      3.  Offering financial incentives for the effective use of health care services; or

      4.  Any combination of those techniques.

      (Added to NRS by 1997, 301)