Survival planning: utilization review and effective case management.
Significant changes have occurred in the patterns, preferences and regulations governing the health care system. Encumbered with a growing list of utilization restrictions and reimbursement limitations, many hospitals have been forced to close. As lengths of stay decline and reimbursements diminish, hospitals must enhance their utilization review process to provide for more cost-efficient medical management. This article presents a utilization review program tailored for this environment.
D006761:Hospitals / Q000706:statistics & numerical data*; D008962:Models, Theoretical; D013597:Systems Analysis; D014481:United States; D014600:Utilization Review / Q000458:organization & administration*