Utilization management

id: utilization-management-312-11901997
title: Utilization management
text: 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 appropriateness before it is provided using evidence-based criteria or guidelines. Critics have argued that if cost-cutting by insurers is the focus of their use of UM criteria, it could lead to healthcare rationing by overzealous denial of care as well as retrosp
brand slug: wiki
category slug: encyclopedia
description: Form of medicine review
original url: https://en.wikipedia.org/wiki/Utilization_management
date created:
date modified: 2024-04-20T10:10:07Z
main entity: {"identifier":"Q7902865","url":"https://www.wikidata.org/entity/Q7902865"}
image:
fields total: 13
integrity: 14

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