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Utilization Management Essays

Utilization Review and Utilization Management in Healthcare

Change in Utilization Review and Utilization Management. Utilization management and utilization review processes have advanced significantly as technology has developed, policies have changed in health care, and the focus on quality improvement has expanded. To begin with, due emphasis was given to cost containment goals. However, the shift has occurred to where the initially used ... Read More
Pages: 6       Words: 1455

The Impact of Utilization Management Determination on Hospital Readmission Rates Among Cardiovascular Disease Patients: A Comparison of Appropriate and Inappropriate Utilization Management Decisions

Significance Patients with cardiovascular disease frequently readmit to the hospital, which raises healthcare expenditures and negatively affects patient outcomes. According to Warchol et al. (2019), effective usage management can lower avoidable readmissions and enhance patient care. In order to examine the effects of good versus wrong utilization management decisions on readmission rates, the study compares ... Read More
Pages: 14       Words: 3725
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