Providers and reviewers teach informed managed care.
Two utilization review case studies are summarized, with discussion of both the provider's and the reviewer's perspective. This interface between managed care organizations and behavioral health care professionals offers some instructive guidelines on how to best approach the utilization review process.
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
J
J
Chester
V R
VR
Sanguineti
S E
SE
Samuel
H
H
Dichter
M
M
Glacken
D000328:Adult; D004496:Education, Continuing; D005260:Female; D017408:Guidelines as Topic; D006282:Health Personnel / Q000193:education; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D008875:Middle Aged; D014481:United States; D014600:Utilization Review