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Utilization Review

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  • Topic: Utilization review
  • Content Type: Program Result Report
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Utilization Management Can Negatively Impact Health Care Quality and Access

June 1, 1999 | Program Result Report

From 1992 to 1997, researchers at the University of Washington School of Public Health and Community Medicine evaluated the effects of utilization management on health care quality and access.

How Satisfied are Physicians and Patients When Medical Groups Control Access to Care?

April 1, 1997 | Program Result Report

The University of California, Los Angeles, School of Medicine examined how the structure and intensity of utilization management in physician groups with capitated contracts affect primary care physician and patient satisfaction.

Most Health Care Organizations Address Patient Safety Only Indirectly

July 1, 2004 | Program Result Report

From 2002 to 2003, research staff at URAC studied utilization management companies to learn how they use utilization management technology and processes to identify and manage potential patient safety problems.

Florida Develops Utilization Management System for Youth Mental Health Services

June 1, 2000 | Program Result Report

A 1996 legislative mandate directed Florida's Agency for Health Care Administration to develop a utilization management system for Medicaid-funded mental health and substance abuse services in order to achieve $34 million in savings.

Reducing Payment for Imaging in Referring Doctor's Facility Does Not Reduce Utilization

August 31, 1998 | Program Result Report

From 1994 to 1996, researcher teams at the University of Virginia and the Primary Care Outcomes Research Institute (PCORI) at the New England Medical Center conducted two distinct but parallel studies.

Analytical Models Project the Utilization and Costs of Long-Term Care

July 1, 1998 | Program Result Report

The Long-Term Care Data Institute reviewed analytical models then in use for projecting the utilization and costs of different long-term care scenarios, and then used the information gleaned from its analysis to rework its own model.

When a Community Has a Higher Rate of Uninsured Residents, Does that Affect Care for Those with Insurance?

September 19, 2011 | Program Result Report

In 2009 and 2010, researchers at UCLA and RAND measured the impact of high local rates of uninsurance on access to care and the quality of care among adults with health insurance.

Examining How Intimate Partner Violence is Addressed by Employer Assistance Programs

June 27, 2011 | Program Result Report

Researchers at Johns Hopkins University Bloomberg School of Public Health examined the practices and services related to intimate partner violence offered by employee assistance programs and the experiences of women using these services.

Physicians Among the Chief Drivers of High Drug Costs

January 1, 2001 | Program Result Report

During the 1980s, expenditures on pharmaceuticals nationwide increased by 152 percent. HMOs implemented a number of cost-control mechanisms to slow the rate of growth of pharmaceutical expenditures, and were successful in doing so compared to fee-for-service health plans.

Making Health Insurance More Affordable for Small Businesses

January 1, 2001 | Program Result Report

Starting in September 1991, researchers at the Pittsburgh Research Institute, Pittsburgh, compared the health care costs and use for employees at small firms and individual health plan subscribers with employees at large firms.

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