The evolution of utilization management.
Utilization management has been one of the most useful managed care tools since the early days of this health delivery model. Recently, utilization management has come under siege, not directly as a result of public outcry, but from within the industry itself. One expert describes how utilization management must evolve to keep pace with the changing managed care environment.
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American Accreditation HealthCare Commission/URAC, 1275 K Street N.W., Suite 1100, Washington, DC 20005, USA.
D020000:Decision Support Systems, Clinical; D019468:Disease Management; D019983:Guideline Adherence; D007256:Information Systems; D008329:Managed Care Programs / Q000458:organization & administration / Q000706:statistics & numerical data; D009936:Organizational Innovation; D014481:United States; D014600:Utilization Review / Q000458:organization & administration / Q000639:trends*