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Glossary

 
Term: Managed Care
Definition: An approach to health care that uses such techniques as claims administration, case management, and utilization analysis to control access and costs. Managed care is considered by many to be the key to modern health care reforms. However, the issue of managed care is viewed differently by different industries. Examples of managed care systems are health maintenance organizations and preferred provider organizations.
 
 
Term: Maximal Medical Improvement
Definition: See MMI - The medical condition is well stabilized and unlikely to change substantially in the next year, with or without medical treatment.
 
 
Term: Mediator
Definition: A person selected by parties to litigation to assist in the informal resolution of a dispute. A mediator does not make a decision but assists the parties in settlement.
 
 
Term: Medical - Legal
Definition: A report, evaluation, diagnostic study or other medically related service performed or obtained for the purpose of proving or disproving a contested medical issue.
 
 
Term: Medical Treatment
Definition: One of the benefits due an injured worker. Must be reasonable and necessary to relieve or cure from the effects of an industrial injury. Distinguished from 'Medical Legal'.
 
 
Term: Medicare Set Aside
Definition: A contractual document that establishes a trust, connected to a workers' compensation settlement, that ensures Medicare is reimbursed for treatment expenses paid by Medicare that otherwise should be paid under workers' compensation. AKA by the acronym 'MSA.'
 
 
Term: MMI
Definition: Maximal Medical Improvement - The medical condition is well stabilized and unlikely to change substantially in the next year, with or without medical treatment.
 
 
Term: Modified Work
Definition: A term of art in vocational rehabilitation. In lieu of providing vocational rehabilitation, an employer may opt to modify the duties of the usual and customary occupation of the injured worker subject to the treating physician's approval. See also Vocational Rehabilitation.
 
 
Term: MSA
Definition: Medicare Set Aside - a contractual document that establishes a trust, connected to a workers' compensation settlement, that ensures Medicare is reimbursed for treatment expenses paid by Medicare that otherwise should be paid under workers' compensation.
 
 
Term: MSC
Definition: Acronym for Mandatory Settlement Conference. The Labor Code requires that litigants participate in a conference in an attempt to settle cases before they may proceed to trial.