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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. 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 ...

4. Drug utilization review - Wikipedia

   en.wikipedia.org/wiki/Drug_Utilization_Review

   Aging populations, a changing disease spectrum, and the progress and change in technology of health care become the major problems which lead to increasing of health care costs. [4] Then, how to use drug utilization evaluation and drug economy evaluation to improve and optimize the allocation of medical and health resources is a major problem ...

5. Healthcare Cost and Utilization Project - Wikipedia

   en.wikipedia.org/wiki/Healthcare_Cost_and...

   The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).

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

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

   Benefits: Benefits at Elevance Health include 100% paid preventative health care, six weeks of parental leave at 100% of pay, adoption and surrogacy assistance, paid time off and back-to-school ...

7. Health insurance in the United States - Wikipedia

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

   Many managed care programs are based on a panel or network of contracted health care providers. Such programs typically include: A set of selected providers that furnish a comprehensive array of health care services to enrollees; Explicit standards for selecting providers; Formal utilization review and quality improvement programs;