… Since conventional arrangements in this period rarely incorporated utilization review, while
managed care plans rarely incorporated cost-sharing, the results are somewhat easier to …

… This commentary discusses the liability implications of utilization review practices for managed
care administrators, whose job it is to decide whether a procedure is medically necessary…

… other, of offering comprehensive benefits while restricting access through utilization review,
has infuriated everyone involved. The protagonists of managed care now are in full retreat, …

… have been shifted into managed care plans. These … managed care plan, pDUR performance
may be hampered by the loss of prescription claim history. Disenrollment in managed care …

… , commentaries, review articles, literature reviews, and … managed care formulary restrictions
on outcomes. Since the objective of this analysis was to assess the impact of managed care …

… survey of utilization review firms, the authors of this paper find that managed care can both …
full consequences of managed care for American medicine and health care professionals can …

… managed health care products. Part III considers the past and present uses of the utilization
review … liability of third-party payers who market managed care products. Part V considers the …

… to limit care also raise serious trust issues. We argue that managed care plans rather than
… we focus only on 3 as¬ pects of managed care: financial incentives for physicians, utilization …

… To gain additional insight into utilization management as a managed care strategy, we
explored how the number of days approved by utilization management compared with the lengths …

… utilization management; conducting exploratory, semistructured interviews with medical
directors and utilization management directors in various managed care … directors and utilization …