utilization reviews การใช้

• The scientific base for drug-utilization review is in its infancy.
• XI . How to use an article about a clinical utilization review.
• Doctors will control the medical policy committee, utilization review and quality assurance.
• Enter Prudential HealthCare's " concurrent utilization review " person.
• Most ValueOptions locations are accredited by URAC ( formerly the Utilization Review Accreditation Commission ).
• Other managed care techniques include wellness incentives, patient education, utilization management and utilization review.
• The hassle associated with utilization review, administration and unnecessary paperwork will be minimal, the CMA promised.
• Another, equally pernicious cost-cutting strategy used by these organizations is the rapidly expanding utilization review process.
• Supple said State Farm " wants to make sure the utilization review process is fair and objective ."
• _UTILIZATION REVIEW _ The process a health plan uses to examine treatments to make sure they are medically necessary and appropriate.
• The system automatically checks the patient's current medication list for any potential drug interactions via Drug Utilization Reviews ( DUR ).
• States like New York and Rhode Island have strong utilization review standards that ensure the quality of health care decisions made by health plans.
• Moreover, many cost management techniques that health plans rely on, like utilization review, actually cost insurers more to administer than they save in care costs.
• Such " drug utilization review would be a positive thing for the health of Medicare beneficiaries because it would reduce drug-drug interactions, " he said.
• Ideally, utilization review systems by insurers should be " more user friendly, quicker, more patient friendly and less punitive to physicians, " said Wynia.
• Even so, Sanus is studying diabetes to assess costs and possible ways of reducing emergency visits and complication rates, said Diane Schimmelbusch, vice president of quality and utilization review.
• After spending an hour on the line waiting for my turn, I would be told that I should fill out the usual forms and refer them to the utilization review committee.
• But Leah Rummel, deputy commissioner of HMO and utilization review for the Texas Department of Insurance, said most of the complaints received by the department concern these behavioral health companies.
• Hitherto, doctors have had to get authorization from the company's " utilization review " division before making medical decisions, leading to needless hassles and endless delays.
• The " utilization review " division cost the company $ 128 million to run last year, and yet ended up approving more than nine out of every ten medical decisions.