Utilization management (UM) has become a strong trend in health care cost containment. Under UM, some decisions are not strictly made by the doctor and patient alone. Instead, they are now checked by a reviewer reporting to an employer or other paying party who asks whether or not the proposed type or location of care is medically necessary or appropriate. This book presents current findings about how UM is faring in practice and how it compares with other cost containment approaches, with recommendations for improving UM program administration and clinical protocols and for conducting further research.The Role of Utilization Management Committee on Utilization Management by Third Parties, Institute of Medicine ... He has served as a member of the editorial boards of Medical Care, Health Services Research, the Journal of General Internal ... His book, Doctorsa#39; Decision and the Cost of Medical Care, was published by Health Administration Press in 1986. ... She is an expert on Medicaid case management programs and has written extensively on this topic as well as on HMOs andanbsp;...
|Title||:||Controlling Costs and Changing Patient Care?|
|Author||:||Committee on Utilization Management by Third Parties, Institute of Medicine|
|Publisher||:||National Academies Press - 1989-01-15|