Gatekeeper

Importance: 0.43

Is a company: no

Is a proper noun: no

Synonyms

  • supervisor
  • caretaker

Alternate Spellings

  • gate keeper

Definition of Gatekeeper

  1. Someone who controls access to something. As it relates to health maintenance organizations (HMOs), a gatekeeper is a primary care physician (PCP) who directs the insured's access to medical services. Aside for medical emergencies, the insured person must first seek acceptance from their gatekeeper before receiving medical care.

Related Terms and Acronyms

  • Healthcare Plan Definition,
    • Insurance that can cover medical and dental expenses for insured people.
  • Case Management Definition,
    • A system where medical services and patient treatments are coordinated by a case manager.
  • Usual, Customary and Reasonable Fees Definition,
    • The expected cost of a medical treatment, and what an insurance company is willing to pay.
  • Health Maintenance Organization (HMO) Acronym, Important,
    • A healthcare plan where insured people receive reasonably priced health insurance through an organization with firm guidelines on the scope of care.
  • Preferred Provider Organization (PPO) Acronym,
    • A health care program that gives its members a level of freedom and independence when choosing health care options.
  • Least Expensive Alternative Treatment (LEAT) Acronym,
    • When multiple treatment options exist for the same illness, insurers are only obligated to provide the most cost effective treatment.
  • Point of Service Plan Definition,
    • A health insurance plan that combines the features of both health maintenance organizations and preferred provider organizations.
  • Primary Care Physician Definition,
    • A doctor who administers or arranges the majority of an individual's health care needs.
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