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Use of Utilization Management Methods in State Medicaid Programs
This article describes the use of utilizaion management (UM) methods by State Medicaid programs. The use of optional UM methods range from zero in one State to eight in four States, with a median of five. A majority of States have programs for ambulatory surgery, preadmission certification, lock-in,...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
CENTERS for MEDICARE & MEDICAID SERVICES
1996
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193589/ https://www.ncbi.nlm.nih.gov/pubmed/10172958 |
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author | Buck, Jeffrey A. Silverman, Herbert A. |
author_facet | Buck, Jeffrey A. Silverman, Herbert A. |
author_sort | Buck, Jeffrey A. |
collection | PubMed |
description | This article describes the use of utilizaion management (UM) methods by State Medicaid programs. The use of optional UM methods range from zero in one State to eight in four States, with a median of five. A majority of States have programs for ambulatory surgery, preadmission certification, lock-in, primary-care case management, and targeted case management. Overall, no UM method was judged by States to have an adverse effect on access or quality of care. For UM methods mandated by the Medicaid program, more than one-third of the States rated physician certification as minimally effective. |
format | Online Article Text |
id | pubmed-4193589 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1996 |
publisher | CENTERS for MEDICARE & MEDICAID SERVICES |
record_format | MEDLINE/PubMed |
spelling | pubmed-41935892014-11-04 Use of Utilization Management Methods in State Medicaid Programs Buck, Jeffrey A. Silverman, Herbert A. Health Care Financ Rev Service Delivery in an Evolving Managed Care Environment This article describes the use of utilizaion management (UM) methods by State Medicaid programs. The use of optional UM methods range from zero in one State to eight in four States, with a median of five. A majority of States have programs for ambulatory surgery, preadmission certification, lock-in, primary-care case management, and targeted case management. Overall, no UM method was judged by States to have an adverse effect on access or quality of care. For UM methods mandated by the Medicaid program, more than one-third of the States rated physician certification as minimally effective. CENTERS for MEDICARE & MEDICAID SERVICES 1996 /pmc/articles/PMC4193589/ /pubmed/10172958 Text en |
spellingShingle | Service Delivery in an Evolving Managed Care Environment Buck, Jeffrey A. Silverman, Herbert A. Use of Utilization Management Methods in State Medicaid Programs |
title | Use of Utilization Management Methods in State Medicaid Programs |
title_full | Use of Utilization Management Methods in State Medicaid Programs |
title_fullStr | Use of Utilization Management Methods in State Medicaid Programs |
title_full_unstemmed | Use of Utilization Management Methods in State Medicaid Programs |
title_short | Use of Utilization Management Methods in State Medicaid Programs |
title_sort | use of utilization management methods in state medicaid programs |
topic | Service Delivery in an Evolving Managed Care Environment |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193589/ https://www.ncbi.nlm.nih.gov/pubmed/10172958 |
work_keys_str_mv | AT buckjeffreya useofutilizationmanagementmethodsinstatemedicaidprograms AT silvermanherberta useofutilizationmanagementmethodsinstatemedicaidprograms |