enow.com Web Search

Search results

1. Results from the WOW.Com Content Network

2. Utilization management - Wikipedia

   en.wikipedia.org/wiki/Utilization_management

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

3. How UnitedHealthcare and other mega-insurers came to ... - AOL

   www.aol.com/finance/unitedhealthcare-other-mega...

   Roughly six in 10 Americans have experienced problems with their health insurance, according to a 2023 survey from KFF, a nonprofit health policy research, polling, and journalism organization ...

4. Independent medical review - Wikipedia

   en.wikipedia.org/wiki/Independent_medical_review

   An independent medical review (IMR) is the process where physicians review medical cases in order to provide claims determinations for health insurance payers, workers compensation insurance payers or disability insurance payers. Peer review also is used in order to define the review of sentinel events in a hospital environment for quality ...

5. Drug utilization review - Wikipedia

   en.wikipedia.org/wiki/Drug_Utilization_Review

   There are some issues addressed by this review: drug abuse clinically, alteration of drug dosage, drug–drug interaction, and drug-disease interaction. [1] Measure and record the blood pressure for next therapy. This review seems the best review over all three reviews because it is the closest option of the ideal. [11]

6. How much do health insurance companies spend on executive ...

   www.aol.com/much-health-insurance-companies...

   That amount represented $14,850 in 401(k) matching and $6,337 in health insurance premiums, with no amount indicated for personal security. The company has yet to release its annual proxy ...

7. Council for Affordable Quality Healthcare - Wikipedia

   en.wikipedia.org/wiki/Council_for_Affordable...

   CAQH was formed by a number of the nation's largest health insurance companies with the goal of creating a forum for healthcare industry stakeholders to discuss administrative burdens for physicians, patients, and payers. [5] CAQH is a group of health insurance companies that sets rules and coordinates information for physicians and other ...