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Utilization Review

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  • Topic: Utilization review
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Appropriate and Inappropriate Imaging Rates for Prostate Cancer Go Hand in Hand by Region, as if Set by Thermostat

April 1, 2012 | Journal Article

Policy-makers interested in containing health care costs are targeting regional variation in utilization, including the use of advanced imaging.

Health Expenditures for Privately Insured Adults Enrolled in Managed Care Gatekeeping vs Indemnity Plans

February 1, 2005 | Journal Article

Gatekeeping arrangements, whereby health maintenance organizations mandate that primary care providers approve referrals to specialists, were the focus of the current investigation. Data from the 1996 Medical Expenditure Panel Survey (MEPS) of the A ...

The Effect of the Medicare Part D Prescription Benefit on Drug Utilization and Expenditures

February 5, 2008 | Journal Article

The focus of this study was to estimate changes in prescription utilization and out-of-pocket expenditures attributable to Part D among a sample of persons eligible for the benefit.

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