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*  Express Scripts
... drug-utilization review; formulary management; and medical and drug data analysis services to manage drug plans for health ... the Express Scripts Drug Trend Report provides detailed analysis of prescription drug costs and utilization. Now a web-based ...
*  Mechanical ventilation
2000). "How is mechanical ventilation employed in the intensive care unit? An international utilization review". Am J Respir ...
*  Health maintenance organization
HMOs also manage care through utilization review. That means they monitor doctors to see if they are performing more services ... A possible reason for this failure is that consumers might increase utilization in response to less cost sharing under HMOs. ...
*  Health insurance in the United States
... utilization management and utilization review. These techniques can be applied to both network-based benefit programs and ... A 2008 systematic review found consistent evidence that health insurance increased utilization of services and improved health ... Formal utilization review and quality improvement programs; An emphasis on preventive care; and Financial incentives to ... The two primary HMO trade associations were the Group Health Association of America and the American Managed Care and Review ...
*  Medworxx
... is one of two companies in the UK offering embedded solutions for utilisation review, the other being the Oak Group. ... "Bed Utilisation Review (BUR) Project" (PDF). South Tees Clinical Commissioning Group. Retrieved 28 June 2015. "Medworxx Patient ... "Utilisation review A scoping study" (PDF). West Midlands Clinical Senate. October 2014. Retrieved 29 June 2015. "Collaboration ... Medworxx Patient Flow systems were used by South Tees Hospitals NHS Foundation Trust in a Bed Utilisation Review Project in ...
*  Users' Guides to the Medical Literature
How to use an article about a clinical utilization review. Evidence-Based Medicine Working Group. JAMA, 275(18), pp. 1435-1439 ...
*  Ewart Brown
... as Chairman of the Utilization Review Committee, West Adams Hospital, Los Angeles, California; and as Secretary of the Charles ...
*  Beacon Health Options
Most Beacon Health Options locations are accredited by URAC (formerly the Utilization Review Accreditation Commission). Many ...
*  Health insurance
This determination may be made either prior to or after hospital admission (concurrent utilization review). There are different ... The services offered are usually at the discretion of a utilization review nurse who is often contracted through the managed ... If still required, the Fiduciary's decision can be brought to the USDOL to review for ERISA compliance, and then file a lawsuit ... Co payments were introduced in the 1980s in an attempt to prevent over utilization. The average length of hospital stay in ...
*  Opioid use disorder
"Impact of a drug utilization review program on high-risk use of prescription controlled substances". Pharmacoepidemiology and ... Childs R (July 2015). "Law enforcement and naloxone utilization in the United States" (PDF). United States Food and Drug ... Owens PL, Barrett ML, Weiss AJ, Washington RE, Kronick R (August 2014). "Hospital Inpatient Utilization Related to Opioid ... Joseph, H; Stancliff, S; Langrod, J (2000). "Methadone maintenance treatment (MMT): A review of historical and clinical issues ...
*  United Concordia
UCCI also maintains third party administrator licenses and utilization review agent certifications in a number of states. These ...
*  Patty Judge
She developed the first in-service education program and first utilization review program for the Monroe County Hospital. With ...
*  Managed care
... utilization management and utilization review. The techniques can be applied to both network-based benefit programs and benefit ... such as precertification for non-emergency hospital admissions and utilization reviews. They are sometimes described as " ... furnish an array of health care services to enrollees Explicit standards for selecting providers Formal utilization review and ... Healthcare in the United States Health insurance in the United States Independent medical review Medical care ratio URAC ...
*  Utilization management
Utilization review is synonymous with, or a part of, utilization management (depending on how the terms are used). UM is the ... O. Olakunle, B. Iskla and K. Williams, "Concurrent Utilization Review: Getting It Right," The Physician Executive Journal, Vols ... Retrospective review considers whether an appropriate level of care applied after it was administered. Retrospective review ... It also covers proactive processes, such as concurrent clinical reviews and peer reviews as well as appeals introduced by the ...
*  Third-party administrator
An insurance company may also use a TPA to manage its claims processing, provider networks, utilization review, or membership ...
*  Intercom Plus
... automatically checks the patient's current medication list for any potential drug interactions via Drug Utilization Reviews ( ... data entry or data review). The paper prescription is kept on file per local or state laws. In certain states, the computerized ...
*  American Board of Physical Therapy Specialties
... quality assurance or utilization review), surveys, and formal clinical trials. Option B: Applicants must submit evidence of ... Programs whose timeframe falls outside of these parameters will be reviewed on a case-by-case basis. Physical therapy American ... The geriatrics publications include trianually peer-reviewed Journal of Geriatric Physical Therapy and bimonthly clinical ... pay all application review and examination fees, and complete any additional requirements specific to each clinical speciality ...
*  Health care system in Japan
... and no peer or utilization review. OECD data lists specialists and generalists together for Japan because these two are not ... As above, costs in Japan tends to be quite low compared to those in other developed countries, but utilization rates are much ... "Japan: Healthcare J-Reits"] Check ,url= value (help). International Financial Law Review: 21. Kōdansha 1993, p. 338. Ikegami, ... Japanese Economic Review. 64: 1 - via Ebscohost. Osamu, Saigusa. "Japan's Healthcare System and Pharmaceutical Industry". ...
*  Pharmacy benefit management
Clinical management - PBMs use a variety of tools such as drug utilization review and disease management to encourage the best ... "drug utilization reviews and disease management". PBMs also created a formulary that encouraged or even required "health plan ... including all utilization information on covered individuals. Fiduciary duty provisions have stirred the most controversy. They ... Valparaiso University Law Review. 42 (1): 33-80. Retrieved October 31, 2015. Brierton, Janet (December 24, 2003). "Pharmacy ...
*  WebMD
URAC, the Utilization Review Accreditation Commission, has accredited WebMD's operations continuously since 2001 regarding ... Medscape is a professional portal for physicians featuring the most recent news and peer-review articles as well as training ...
*  Rising Medical Solutions
Services include medical bill review, hospital bill review, provider negotiations, case management, utilization review, peer ... review, independent medical exams, risk modeling and Medicare Set Aside (MSA) administration. Since 1996, Rising staff have ...
*  Self-funded health care
... utilization review and the stop loss insurance market. Insurance companies offer similar services under what is frequently ...
*  China Nepstar
Its in-store pharmacists also perform a drug utilization review, in which they cross-check every prescription against the ... China Nepstar selected SAP ERP system following a rigorous review of competing software in light of the Company's business ...
*  Oscillating Water Column
Falcao, A.F.de O. (2010). "Wave energy utilization: A review of the technologies". Renewable Energy and Sustainable Energy ... "Energy and the Environment, A Costal Perspective". Heath, T.V. "A Review of Oscillating Water Columns" (PDF). RSTA. " ...
*  Yoshio Masuda
Wave power Falcão, António F. de O. (2009). "Wave energy utilization: A review of the technologies". Renewable and Sustainable ... Energy Reviews. doi:10.1016/j.rser.2009.11.003. "The Masuda Device". daedalus.gr. Archived from the original on March 30, 2010 ...
*  Fermented tea
Utilization of Tropical Foods: Sugars, Spices and Stimulants:. Food and Agriculture organization of the United Nations. 1989. ... "Processing and chemical constituents of Pu-erh tea: A review." Food Research International 53.2 (2013): 608-618. Ling, Tie-Jun ...