Citations with the tag: MEDICAL care -- Utilization
Results 1 - 50
- Children follow continuum of care: Study.
Klatt, Mary Beth // AHA News; 1/16/95, Vol. 31 Issue 3, p5No abstract available.
- Utilization review/case management provider directory terms.
Klatt, Mary Beth // Business Insurance; 02/02/98, Vol. 32 Issue 5, p19Indicates what the utilization review/case management providers' directory has to offer. Definition of utilization review; Contents of the directory.
- Health care service use, by Medicaid eligibility group.
Klatt, Mary Beth // Health Care Financing Review; 1995 Supplement, Vol. 17 Issue 1, p148Presents statistics on health care service use by Medicaid eligibility group in the United States in 1993. Percentage of Medicaid beneficiaries nationwide enrolled in capitated plans; Variation of type of service use among Medicaid eligibility gro ups; Percentage of persons with physician...
- Health care service use, by Medicaid eligibility group.
Klatt, Mary Beth // Health Care Financing Review; 1996 Supplement, Vol. 18 Issue 1, p184Presents statistics in 1994 illustrating medical service utilization trends in the United States according to Medicaid eligibility categories. Rate of physician use payments among the disabled; Rates of Medicaid beneficiary use in nursing homes.
- When to wait and see.
Lipman, Marvin M. // Consumer Reports on Health; Mar1994, Vol. 6 Issue 3, p35Discusses the importance of adopting a wait-and-see approach in health care. Dangers in aggressive treatment approach; Obligations and responsibilities of physicians; Questions for the determination on the approach to use in health care.
- Patients' accounts of calling the doctor out of hours: Qualitative study in one general practice.
Hopton, Jane; Hogg, Rhona // BMJ: British Medical Journal (International Edition); 10/19/96, Vol. 313 Issue 7063, p991Investigates patients' accounts of calling the doctor apart from their regular clinic hours. Reasons for calling the doctor; Includes failure of previous attempts to manage the condition; Implications on the psychosocial context of diseases.
- Medical professionalism under managed care: The pros and cons of utilization review.
Schlesinger, Mark J.; Gray, Bradford H. // Health Affairs; Jan/Feb97, Vol. 16 Issue 1, p106Presents a perspective study of utilization review in medical care. Undermining of the medical profession by unduly standardizing medical practices or creating distractions and burdens for clinicians; Definition of the central concept of professional autonomy; Effects on accountability and...
- Managing utilization management: A purchaser's view.
Milstein, Arnold // Health Affairs; May/Jun97, Vol. 16 Issue 3, p87Opinion. Focuses on utilization management and its relation to lower health care services, speculating that reduced service levels may jeopardize patients' well-being. Examination of the need to better manage utilization management; Reference to a study of author Eve Kerr on utilization...
- Managing utilization successfully in 12 not-so-easy steps.
Mayer, Thomas // hfm (Healthcare Financial Management); Oct98, Vol. 52 Issue 10, p48Presents steps to ensure an effective utilization management of medical care. Includes the development of a complete, contracted network; Contract management; Use of resource utilization benchmarks; Patient education and preventive care programs.
- Targeting health care consumers.
Upton, Richard L. // H&HN: Hospitals & Health Networks; 10/5/95, Vol. 69 Issue 19, p94Discusses the place of the health care consumer in the evolving health care system of the United States. Corporate benefits manager as the consumer's proxy in health plan decision-making; Focus on meeting the access and service needs of large populations; Convergence of concerns and services.
- Independent third party opinion of utilization review findings called for in New York bill.
Upton, Richard L. // Insurance Advocate; 06/21/97, Vol. 108 Issue 25, p35Reports on the provisions of a legislative bill concerning the use of independent third party opinion of adverse determinations by utilization review agents in New York. Resolution of disputes between utilization review agents and patients; Minimum standards for regional organizations involve...
- UR providers evolving to manage utilization, not just review it.
Ceniceros, Roberto // Business Insurance; 02/03/97, Vol. 31 Issue 5, p3Editorial. Discusses utilization management providers in the United States. How some companies got started; Services offered by health companies; Comments from John Weymer, senior vice president of Intracorp, a group health managed care in Dallas; Demands for stand-alone utilization companies;...
- Why you get those UR denials.
Solomon, Gil // Medical Economics; 2/27/95, Vol. 72 Issue 4, p75Discusses how utilization review operates. Keeping reviewers from coming between the doctor and the patient; Dependence on clinical guidelines; Dangers of diagnostic procedures; Getting along with a utilization reviewer; Need to restrain medical specialists. INSET: A safeguard against UR...
- MEDICAL CARE UTILIZATION IN A REGIONAL PREPAID MEDICAL SYSTEM.
Lairson, David R.; Forthofer, Ron N.; Glasser, Jay H. // Annals of Regional Science; Jul82, Vol. 16 Issue 2, p62Aggregate dollar medical care utilization is estimated by applying a fee structure to 1967-70 medical care utilization of 3,418 members of the Kaiser Foundation Health Plan of Portland, Oregon. The data indicated a very stable pattern of medical care utilization by the cohort during the period....
- Utilization Puzzle.
Lairson, David R.; Forthofer, Ron N.; Glasser, Jay H. // ASRT Scanner; Jun/Jul2012, Vol. 44 Issue 5, p15The article reports on a study which showed that policies intended to reduce unneeded imaging could restrict access to appropriate imaging for high-risk patients, particularly in the U.S.
- UR programs usually say yes to doctors: Study.
Bell, Allison // National Underwriter / Life & Health Financial Services; 1/5/98, Vol. 102 Issue 1, p34Focuses on the findings of a 1995 telephone survey which suggests that utilization review (UR) programs usually accept doctors' recommendations. Information on final UR denial rates; Comments by Dahlia Remler, the study's lead author; Why researchers need help from managed care companies.
- Effect of Utilization Review in a Fee-for-Service Health Insurance Plan.
Rosenberg, Stephen N.; Allen, David R.; Handte, Janis S.; Jackson, Thomas C.; Leto, Leonard; Rodstein, Barry M.; Stratton, Scott D.; Westfall, George; Yasser, Roslyn // New England Journal of Medicine; 11/16/95, Vol. 333 Issue 20, p1326Background: Although utilization review is widely used to control health care costs, its effect on patterns of health care is uncertain. Methods: In 1989, New York City and its unions temporarily replaced actual utilization review with sham review for half the participants in the city's...
- HOSPITAL EPISODE STATISTICS.
Brennan, Lauren; Watson, Mando; Klaber, Robert; Charles, Tagore // BMJ: British Medical Journal (Overseas & Retired Doctors Edition; 4/7/2012, Vol. 344 Issue 7851, p28Several letters to the editor are presented regarding the increase of adults aged over 30 who attend outpatient child and adolescent psychiatry services in England, and the increased mortality at weekends and the connection of reduced levels of medical staffing by doctor Foster.
- California adopts UR comp regulations.
Brennan, Lauren; Watson, Mando; Klaber, Robert; Charles, Tagore // Business Insurance; 8/28/95, Vol. 29 Issue 35, p59Outlines components of the utilization review (UR) regulations for insurers and self-insured employers adopted in California. Response rate required for medical providers' request for courses of treatment for an injured worker; Use of physician-developed criteria in the UR process; Physicians...
- PL-SI-229-F.
Brennan, Lauren; Watson, Mando; Klaber, Robert; Charles, Tagore // Physical Therapy; May1997, Vol. 77 Issue 5, pS73Presents an abstract of a paper entitled `Say It or They Won't Pay it: Ensuring Quality of Documentation in a Large Organization,' by B. Irvine, presented at the Physical Therapy `97: Scientific Meeting and Exposition of the American Physical Therapy Association.
- Information systems help redesign traditional utilization management processes.
Homan, Cheryl // Health Management Technology; Aug1997, Vol. 18 Issue 9, p42Examines the benefits of utilization management of health care in the United States. Factors contributing to the trend towards utilization management; Innovations made to the traditional approach to utilization management; Developments on information system support for utilization management;...
- Care coordination decreases hospitalizations.
Homan, Cheryl // Hospital Home Health; Jan2010, Vol. 27 Issue 1, p6The article focuses on the significance of regular care and personal interaction that helps in reducing health care utilization for patients with complex medical needs.
- CMS Allows PTs to be Reimbursed for EMG/NCV Tests.
Homan, Cheryl // PT: Magazine of Physical Therapy; Dec2001, Vol. 9 Issue 12, p16Focuses on the reimbursement of the medical services among physical therapists in the United States. Evaluation of the Change Request (CR) 1756 by the Medicare Carriers Manual; Assessment of electromyography/nerve conduction velocity tests without physician supervisions; Expansion of the...
- Are You Inviting Unwelcome Attention?
Kennedy, Patricia; McCune, Donna // Review of Ophthalmology; May2002, Vol. 9 Issue 5, p31Presents a question and answer advisory on medicare. Selection of practices for postpayment review by medicare carriers; Performance of utilization analysis; Inclusion of physician training in the quality assurance program.
- Reasons for compliance with influenza immunization.
Kennedy, Patricia; McCune, Donna // American Family Physician; 6/1/96, Vol. 53 Issue 8, p2658Reports on a study by H.L. Hutchinson, et al, published in the `Journal of the American Board of Family Practitioners' which evaluated why persons in high-risk groups obtain or do not obtain influenza vaccination. Recommendations for the improvement of compliance rates.
- Directory of UR/case management providers.
Kennedy, Patricia; McCune, Donna // Business Insurance; 02/02/98, Vol. 32 Issue 5, p18Gives a directory of utilization review/case management providers. Information on ADMAR Corporation, its staff, clients and its 1997 revenues; Reference to Advanced Focus Medical Management; Additional information on other companies. INSET: 10 largest general service utilization management firms.
- Prevalence of use of complementary/alternative medicine: A systematic review.
Ernst, E. // Bulletin of the World Health Organization; 2000, Vol. 78 Issue 2, p252No abstract available.
- Gender differences in treatment of heart disease.
Ernst, E. // HealthFacts; Oct95, Vol. 20 Issue 197, p3Reports on an editorial published in the `Annals of Internal Medicine,' by physicians Peter Franks and Elizabeth Naumburg, dealing with differences in the utilization of health care by men and women. Disparities in the application of high-technology procedures; Women as more likely to receive...
- Utilization management and its impact on client...
Johnsen, Eric // Journal of Mental Health Counseling; Apr94, Vol. 16 Issue 2, p279No abstract available.
- URAC will research patient safety in UM.
Johnsen, Eric // Getting Paid in Behavioral Healthcare; Oct2002, Vol. 7 Issue 10, p8Reports on plans of U.S. -based accrediting organization Utilization Review Accreditation Committee to examine patient safety practices in utilization management (UM) programs. Help to UM programs from the research; Features of the study; Funding agency of the research.
- Alternative medicine complements conventional health care.
Johnsen, Eric // Infomat: A Weekly Review; 12/21/2001, p5Reports that Canadians continue to consult alternative health care practitioners to complement physician care. Data from the National Health Population Survey of 1998 to 1999; Evidence that women were more likely than men to consult alternative health care practitioners; Greater utilization...
- CONTINUUM OF CARE.
Montague, Jim; Pitman, Hilarie // H&HN: Hospitals & Health Networks; 4/20/96, Vol. 70 Issue 8, p12Reports on the frequency of utilization of health care services by adolescents. Contact with clinicians versus use of traditional health care facilities; Visit with providers.
- Major depressive episode and health care use among adolescents and young adults.
Haarasilta, Linnea; Marttunen, Mauri; Kaprio, Jaakko; Aro, Hillevi // Social Psychiatry & Psychiatric Epidemiology; Jul2003, Vol. 38 Issue 7, p366Objective: The aim was to analyze how major depressive episode (MDE), chronic illness and their co-existence are associated with health care use in young people. Method: As part of the Finnish Health Care Survey 1996, a random sample of 942 15 to 24-year-olds was interviewed. DS M-III-R MDE over...
- In This Issue.
Haarasilta, Linnea; Marttunen, Mauri; Kaprio, Jaakko; Aro, Hillevi // Clinical Pharmacology & Therapeutics; Dec2010, Vol. 88 Issue 6, p727An introduction to the journal is presented in which the editor discusses articles published within the issue including one by Elizabeth Migoya and colleagues on the use DPP-4 inhibitors and metformin to boast active GLP-1 concentrations, one by Janet Woodcock on the kinds of evidence required...
- Clinical Rating of Compliance in Chronic Hemodialysis Patients.
Mai, Francois M; Busby, Keith; Bell, Robert C // Canadian Journal of Psychiatry; Jun1999, Vol. 44 Issue 5, p478Objective: To develop a clinical rating scale of treatment compliance for use in chronic hemodialysis patients and to test its reliability and validity.Method: Forty-eight of 65 patients undergoing hemodialysis treatment at the Ottawa General Hospital during June 1994 met criteria for inclusion...
- Reporting of Adverse Events.
Leape, Lucian L. // New England Journal of Medicine; 11/14/2002, Vol. 347 Issue 20, p1633Discusses the Institute of Medicine (IOM) and their desire to expand reporting of adverse events and medical errors. How it can help doctors learn from each others mistakes; Discussion of those who oppose the idea, fearing increased liability.
- Health care and retirement villages.
Heintz, Katherine McMillan // Monthly Labor Review; Apr78, Vol. 101 Issue 4, p21Focuses on the link between health care needs and retirement villages in the United States. Absence of evidence that the retirement village environment fosters increased utilization of health care services or that the elderly within retirement communities use health care services more than or...
- Frequent phone follow-up can improve the management of heart failure.
Heintz, Katherine McMillan // Modern Medicine; May97, Vol. 65 Issue 5, p55Presents an abstract of the study `A Comprehensive Management System for Heart Failure Improves Clinical Outcomes and Reduces Medical Resource Utilization,' by `J.A. West, N.H. Miller et al., published in the January 1, 1997 issue of `American Journal of Cardiology.'
- NORTHERN PLIGHTS.
Possehl, Suzanne Rene // H&HN: Hospitals & Health Networks; 09/05/97, Vol. 71 Issue 17, p56Discusses the health care assistance of the United States to Canada through the trade created by Douglas Hitchlock. Disadvantages of the health care assistance; Health care financial data. INSET: Canada's (almost) secret second tier..
- Requiring coverage doesn't ensure care.
Rose, Joan R. // Medical Economics; 07/15/96, Vol. 73 Issue 13, p20Reports that requiring insurance coverage for a specific health service is not enough to persuade patients to undergo it. Role of primary-care doctors in persuading patients to use medical procedures; Need to remove disincentives like the failure of primary-care doctors to refer patients for...
- STATE OF MEN'S HEALTH IN EUROPE.
Walker, Susan H. // BMJ: British Medical Journal (Overseas & Retired Doctors Edition; 1/7/2012, Vol. 344 Issue 7838, p32A letter to the editor is presented which discusses the condition of healthcare services for full time working men in Europe.
- Use patient complaints to build a case for improved resources.
Walker, Susan H. // Nursing Standard; 10/31/2012, Vol. 27 Issue 9, p11Nurses should use negative patient feedback to push for more resources on the front line, according to health minister Dan Poulter.
- Enhance your image with media coverage.
Baum, Neil H. // Urology Times; Aug2002, Vol. 30 Issue 8, p42Focuses on the media coverage of health and medical reporting in the U.S. Considerations in booking for an interview with the media; Preparations for television appearances; Precautionary measures in giving medical advice over the airwaves.
- Orthopaedic attendance also worse with choose and book.
Beckingsale, Thomas B.; Wallace, Ian W. // BMJ: British Medical Journal (Overseas & Retired Doctors Edition; 3/21/2009, p674A letter to the editor is presented in response to the article "Patients' attendance at clinics is worse with choose and book" by P. C. Modayil, R. Hornigold, R. J. Glore and D. A. Bowdler in the February 2, 2009 issue.
- Patterns of health service use and child abuse or neglect in young childhood: a systematic review.
Woodman, J.; Brandon, M.; Glaser, D.; Gilbert, R. // Archives of Disease in Childhood -- Education & Practice Edition; Apr2011 Supplement, Vol. 96 Issue 5, p114An abstract of the article "Patterns of Health Service Use and Child Abuse or Neglect in Young Childhood: A Systematic Review," by J. Woodman and colleagues is presented.
- Annual directory of UR providers and case managers.
Woodman, J.; Brandon, M.; Glaser, D.; Gilbert, R. // Business Insurance; 2/19/96, Vol. 30 Issue 8, p22Presents the annual directory of utilization review providers and case managers of the `Business Insurance' periodical. List of companies that offer utilization review and case management directly to members of employer-sponsored group plans on behalf of the employer; 1995 gross revenues; Staff...
- CONSUMERIST CARE.
Wulfers, Michael // First Things: A Monthly Journal of Religion & Public Life; Feb2013, Issue 230, p8A letter to the editor is presented in response to the article "Careless Consumerism," by Wesley J. Smith, originally published in the December 2012 issue, discussing luxury medical consumption in the United States.
- CONSUMERIST CARE.
Tollefson, Erik // First Things: A Monthly Journal of Religion & Public Life; Feb2013, Issue 230, p8A letter to the editor is presented in response to the article "Careless Consumerism," by Wesley J. Smith, originally published in the December 2012 issue, discussing luxury medical consumption in the United States.
- CONSUMERIST CARE.
Favata, Andrew // First Things: A Monthly Journal of Religion & Public Life; Feb2013, Issue 230, p9A letter to the editor is presented in response to the article "Careless Consumerism," by Wesley J. Smith, originally published in the December 2012 issue, discussing luxury medical consumption in the United States.
- CONSUMERIST CARE.
Smith, Wesley J. // First Things: A Monthly Journal of Religion & Public Life; Feb2013, Issue 230, p9A reply by the author is presented in response to letters on his article "Careless Consumerism," originally published in the December 2012 issue, discussing luxury medical consumption in the United States.
