Onsite concurrent review: impacts on utilization, medical complications and expense.
An evaluation of onsite concurrent review over and above the effects of Aetna's precertification program demonstrated reduced utilization and expenses, especially for ancillary services, and no adverse effects on rates of medical complications.
Smith
R B
RB
Gotowka
T D
TD
D003211:Concurrent Review / Q000191:economics* / Q000706:statistics & numerical data; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data; D017049:Employer Health Costs / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D007345:Insurance Claim Review / Q000191:economics / Q000706:statistics & numerical data; D007350:Insurance, Hospitalization / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008329:Managed Care Programs / Q000191:economics*; D015397:Program Evaluation / Q000379:methods; D012044:Regression Analysis; D014481:United States