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  2. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  3. Milliman - Wikipedia

    en.wikipedia.org/wiki/Milliman

    Milliman, formerly Milliman & Robertson, is an international actuarial and consulting firm based in Seattle, Washington. The company was founded in 1947, by Wendell Milliman and Stuart A. Robertson and operates 59 offices internationally, with over 3,000 employees. [citation needed] Milliman is owned and managed by approximately 350 principals. [1]

  4. Harris Williams & Co. Advises Milliman Care Guidelines ... - AOL

    www.aol.com/2012/12/10/harris-williams-co...

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  5. Clinical peer review - Wikipedia

    en.wikipedia.org/wiki/Clinical_peer_review

    Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [ 1 ] [ 2 ] A discipline-specific process may be referenced accordingly (e.g., physician peer review , nursing peer review ).

  6. URAC - Wikipedia

    en.wikipedia.org/wiki/URAC

    URAC is a Washington, DC–based non-profit organization [1] that provides accreditation of organizations involved in medical care services, as well as education and measurement programs. Founded under the name Utilization Review Accreditation Commission in 1990, the name was shortened to the acronym URAC in 1996. [2]

  7. Jane and Robert Cizik School of Nursing - Wikipedia

    en.wikipedia.org/wiki/Jane_and_Robert_Cizik...

    The Jane and Robert Cizik School of Nursing [1] at the University of Texas Health Science Center at Houston [2] (UTHealth Houston) is an American nursing education institution. The school has graduated more than 14,000 nurses since its establishment in 1972.

  8. Health insurance in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_in_the...

    Healthcare in the United States Government health programs Federal Employees Health Benefits Program (FEHBP) Indian Health Service (IHS) Medicaid / State Health Insurance Assistance Program (SHIP) Medicare Prescription Assistance (SPAP) Military Health System (MHS) / Tricare Children's Health Insurance Program (CHIP) Program of All-Inclusive Care for the Elderly (PACE) Veterans Health ...

  9. Clinical pathway - Wikipedia

    en.wikipedia.org/wiki/Clinical_pathway

    A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).

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