MIKE. YEAH, GUYS. GOOD EVENING. THAT MOTION PASSING 6 TO 3 TONIGHT RIGHT BEFORE THE VOTE WAS TAKEN, THE BOARD PRESIDENT TRIED TO UNDERSCORE THE IMPORTANCE OF THIS PLAN BY NOTING THAT THE UTILIZATION ...

“Many employers and their health plan members assume that a utilization management program’s only goal is to approve or deny medical procedures and save costs for the health plan. In reality, ...

Writing effective utilization management goals typically ensures that all resources get expended effectively and efficiently. A committee usually forms to assess and evaluate past practices to set ...

Units will maintain a documented strategy for planned reserve utilization. Leaders should understand how to develop a 5-year Reserve Utilization plan to create long-term forecasts. The goal is to ...