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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 ...
NQF endorses those measures that meet the following criteria: [9] Importance to measure and report; Scientific acceptability of measure properties; Feasibility; Usability and use; Related and competing measures; The endorsement process has historically taken 12 months to complete, but NQF streamlined its process in 2014, reducing the process to ...
Inclusion criteria may include factors such as type and stage of disease, the subject’s previous treatment history, age, sex, race, ethnicity. Exclusion criteria concern properties of the study sample, defining reasons for which patients from the target population are to be excluded from the current study sample. Typical exclusion criteria ...
A Condorcet (French: [kɔ̃dɔʁsɛ], English: / k ɒ n d ɔːr ˈ s eɪ /) winner is a candidate who would receive the support of more than half of the electorate in a one-on-one race against any one of their opponents.
U.S. President Donald Trump's approval rating has ticked slightly lower in recent days as more Americans worried about the direction of the U.S. economy as the new leader threatens a host of ...
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States followed suit and began implementing a dangerousness criteria, as well. [2] In the 1975 Supreme Court case O'Connor v. Donaldson, the Supreme Court ruled that the individual must have a mental illness, pose a known threat to the safety of their self or others, be unable to care for themselves, or need psychiatric care. [2]