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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 (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.
Drug utilization review acted as a background paper written by the United States Department of Health, Education, and Welfare task force. This task force considered that drug utilization review was potential but this review should be evaluated and need valid evidence to put into effect. [7]
State of Ohio Awards Mental Health Utilization Review Contract to Permedion WESTERVILLE, Ohio--(BUSINESS WIRE)-- Permedion, a wholly owned subsidiary of HMS, Inc., announced today that it has been ...
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [1] [2] A discipline-specific process may be referenced accordingly (e.g., physician peer review, nursing peer review).
“Addressing muscle loss through resistance training, proper nutrition, and regular physical activity is essential for maintaining overall health and may offer protective benefits for cognitive ...
Persuasive utilization is the enlistment of evaluation results in an effort to persuade an audience to either support an agenda or to oppose it. Unless the 'persuader' is the same person that ran the evaluation, this form of utilization is not of much interest to evaluators as they often cannot foresee possible future efforts of persuasion. [8]
In this case, see a urologist who can help you get to the bottom of things and start you on some bladder training exercises. If you’re uncomfortable with public bathrooms, “I get it ...