In fact, several states have designated URAC as their accreditor of workers compensation utilization review
David Allara MD offering our new Utilization review
101 class and our new Pharmacology 101 class to our students,” Cali Estes, CEO, said.
By putting a drug utilization review
program into place, auto no-fault insurers could receive significant incremental savings--usually between 10% and 15% above the prescription cost savings.
can be defined as the evaluation of the appropriateness, setting and intensity of medical care.
As a whole, the utilization review
file reflects the attitude the insurer displayed toward its insured.
However, loosening utilization review
is not without cost, she said.
Hiestand said that the doctors intentionally withheld the fact that a utilization review
board makes all decisions on whether a patient could see a specialist, and Ruschell relied on that information.
Some studies show global pricing is a more cost-effective tool than negotiated discounts or utilization review
Here is a typical experience with the utilization review
process, as culled from Consumer Reports for August 1992.
The survey found that managed care programs, which include utilization review
and health maintenance organization/preferred provider organization delivery systems, are the most prevalent strategy used by self-insured companies to control rising costs.
While still providing URAC-accredited utilization review
services, CID has expanded its offerings to include per-incident and enterprise-level clinical services known as The Clinical Experience.
Department of Industrial Relations Director Christine Baker today released the following statement on SB 1160 (Mendoza), legislation which makes substantial reforms to the utilization review
process used to contest care to injured workers.