Utilization Management

The principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. There are four (4) main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management.
Differentiate between the three (3) main processes of institutional utilization management.
Determine the main purposes of each process of institutional utilization management. Which process do you think is the most important, and why?

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