Title: Controlling Costs and Changing Patient Care? The Role of Utilization Management
Publisher: National Academy Press
Publication Date: 1989
Language: English
ISBN 10: 0309040450
ISBN 13: 9780309040457
Binding: Paperback
Condition: Good
Book Type: Book

About this title

Synopsis

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.

About the Author

Committee on Utilization Management by Third Parties, Institute of Medicine

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