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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 ...
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 ...
Drug use/ utilization evaluation and medication utilization evaluations are the same as drug utilization review. [ 3 ] With the development of society and the economy, the costs of health care grows rapidly, and this becomes a burden on the worldwide health protection system. [ 4 ]
Vivian Health visualized data from the Centers for Medicare & Medicaid Services to identify states with the highest- and lowest-rated home health agencies. The ratings address the quality of ...
Available remote job roles include nursing educator, counselor and sales representative. Benefits: Benefits at Humana include medical insurance, 401(k) with 125% company match up to 6%, paid ...
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 ...
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