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Utilization Review and Management: A Brief Analysis of a Growth Industry

Published online by Cambridge University Press:  21 June 2016

William B. Credè  and
Walter J. Hierholzer Jr
William B. Credè
Affiliation:
Departments of Quality Assurance, Yale-New Haven Hospital, New Haven, Connecticut
Walter J. Hierholzer Jr*
Affiliation:
Hospital Epidemiology, Yale-New Haven Hospital, New Haven, Connecticut
*
Medical Director, Department of Hospital Epidemiology, Yale-New Haven Hospital, New Haven, CT 06504
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Extract

Inpatient hospital care consumes more than 30% of health insurance dollars regardless of the reimbursement mechanism, be it standarti fee-for-service, preferred provider organization (PPO), or health maintenance organization (HMO). It is understandable that reducing these costs has become the highest priority of health care purchasers, and that utilization review and management, the process of evaluating and attempting to reduce the cost of medical practice, has become a major growth industry with providers and purchasers of health care.

Type
Special Sections
Information
Infection Control & Hospital Epidemiology , Volume 10 , Issue 1 , January 1989 , pp. 33 - 36
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1989

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