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  2. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.

  3. 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 ...

  4. Board certification - Wikipedia

    en.wikipedia.org/wiki/Board_certification

    Additionally, there are alternative national medical boards, i.e. the National Board of Physicians and Surgeons, [10] with over 10,000 board-certified physicians, that meet national quality standards, including the Joint Commission, the National Committee on Quality Assurance, and the Utilization Review Accreditation Commission, and has gained ...

  5. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    Other features of a preferred provider organization generally include utilization review, where representatives of the insurer or administrator review the records of treatments provided to verify that they are appropriate for the condition being treated rather being largely, or solely, being performed to increase the number of people due.

  6. Find Remote Jobs at These 41 Work-From-Home Companies - AOL

    www.aol.com/finance/remote-jobs-32-home...

    Pay: Earnings are dependent on call volume, incentives, utilization and how many hours you can commit, but most agents earn between $12 and $17 per hour. How to Apply: Click here to see current ...

  7. URAC - Wikipedia

    en.wikipedia.org/wiki/URAC

    URAC's accreditation programs include specialty pharmacy, digital health, utilization management, health plan, case management, and others. [4] In order to earn an accreditation, organizations submit various policies and procedures which are reviewed by a nurse or pharmacist and then the Accreditation Committee. [5] Accreditation lasts for ...

  8. Co-defendant of Young Thug stabbed in jail while awaiting ...

    www.aol.com/co-defendant-young-thug-stabbed...

    The review was opened after an inmate was found dead in a bed bug-infested cell in 2022; Fulton County officials have said they are working to address the issues.

  9. What Elphaba’s costume has to do with mushrooms, and more ...

    www.aol.com/elphaba-costume-mushrooms-more...

    “Wicked” costume designer Paul Tazewell opens up about the making of Elphaba and Glinda's costumes on Wicked — the meaning of the Elphaba's back outfits, the bubble dress and more.

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