Robert Wood Johnson Foundation

Menu
  • About RWJF
  • Our Work
  • Research & Publications
View All:
  • Grants
  • Topics
  • Blogs

Utilization Review

You are now viewing 1 - 8 of 8 results

Sort results by:
  • Relevance
  • Alphabetical Order
  • Publication Date

Refine Your Results

  • Topic: Utilization review
  • Program: Coverage
By Topic
  • Managed care organizations (5)
  • Medical treatment facilities (4)
  • Financial barriers to care (4)
  • Physicians (4)
  • Physician/dental offices (3)
  • Health plans (3)
  • Physician group practices (3)
  • Access and barriers to care (3)
  • Ambulatory care (3)
  • Private insurance (3)
  • Insurance coverage (2)
  • Health care markets (2)
  • Uninsured (2)
  • Medicare (2)
  • Reimbursement issues (2)
By Content
  • Content Type
    • Program Result (6)
    • Report (2)
  • Program Area
    • Quality/Equality (4)
By Demographics
  • Location
    • National (5)
    • International (1)
  • States and Territories
    • California (CA) P (1)

Utilization Management Can Negatively Impact Health Care Quality and Access

June 1, 1999 | Program Result

From 1992 to 1997, researchers at the University of Washington School of Public Health and Community Medicine evaluated the effects of utilization management on health care quality and access.

How Satisfied are Physicians and Patients When Medical Groups Control Access to Care?

April 1, 1997 | Program Result

The University of California, Los Angeles, School of Medicine examined how the structure and intensity of utilization management in physician groups with capitated contracts affect primary care physician and patient satisfaction.

Post Claims Underwriting and Rescission Practices

January 1, 2009 | Report

Study details regulations and enforcement needed to fill gaps in protecting consumers in insurance markets.

Reducing Payment for Imaging in Referring Doctor's Facility Does Not Reduce Utilization

August 1, 1998 | Program Result

From 1994 to 1996, researcher teams at the University of Virginia and the Primary Care Outcomes Research Institute (PCORI) at the New England Medical Center conducted two distinct but parallel studies.

Spillover Effects of Community Uninsurance on Working-Age Adults and Seniors

September 1, 2011 | Report

This article explores the indirect, or spillover, health care effects of a high uninsurance rates. Working-age adults with private insurance living in areas with a high rate of uninsurance were less likely than their peers in areas with a low uninsurance rate to have a usual source of care, an office-based visit, and any medical care expenditures.

Analytical Models Project the Utilization and Costs of Long-Term Care

July 1, 1998 | Program Result

The Long-Term Care Data Institute reviewed analytical models then in use for projecting the utilization and costs of different long-term care scenarios, and then used the information gleaned from its analysis to rework its own model.

When a Community Has a Higher Rate of Uninsured Residents, Does that Affect Care for Those with Insurance?

September 19, 2011 | Program Result

In 2009 and 2010, researchers at UCLA and RAND measured the impact of high local rates of uninsurance on access to care and the quality of care among adults with health insurance.

How Do Doctors Decide What Care is Necessary for Mental Health Problems?

November 1, 1996 | Program Result

Harvard Pilgrim Health Care documented the implicit criteria used to determine "medical necessity" related to mental health, and the influences of financial incentives and organizational arrangements on medical necessity decisions.

RWJF Home → Topics → Utilization Review
  • Facebook
  • Twitter
  • YouTube
  • Email
  • RSS

Our mission: to improve the health and health care of all Americans.

  • About RWJF
    • Our Mission
    • Program Areas
    • From Our President
    • Leadership & Staff
    • Annual Reports
    • Newsroom
    • Job Opportunities
    • Office Location
    • Our Policies
  • Our Work
    • Health Policy
    • Prevention
    • Cost and Value
    • Leadership
    • All Topics
  • Program Areas
    • Childhood Obesity
    • Coverage
    • Human Capital
    • Pioneer
    • Public Health
    • Quality/Equality
    • Vulnerable Populations
  • Research & Publications
    • Find RWJF Research
    • Assessing Our Impact
    • How We Work
    • Data Center
    • RWJF DataHub
  • Grants
    • What We Fund
    • Calls for Proposals
    • Grantee Resources
    • FAQs
  • Blogs
    • Human Capital
    • New Public Health
    • Pioneering Ideas
  • My RWJF
    • Subscription Management
    • My Profile
  • Contact RWJF
  • Privacy Policy
  • Terms and Conditions

© 2001–2013 Robert Wood Johnson Foundation. All Rights Reserved.