Document Detail


Utilization management and healthcare reform.
MedLine Citation:
PMID:  10139388     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The reform movement in healthcare is occurring in response to financial pressures on American business. The trend toward managed care with competition-based discounting and capitation contracts is likely to continue even if Congress does not enact healthcare reform legislation. Efficient management of resources with acceptable outcomes and customer satisfaction is becoming increasingly crucial. As cost-shifting options are reduced, accurate knowledge and management of resource consumption costs become critical to enable hospitals to assume the financial risks associated with competing in any future capitation area. Hospitals must consider altering their approach to utilization management and business as usual to survive these changes.
Authors:
S B Jones
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal for healthcare quality : official publication of the National Association for Healthcare Quality     Volume:  17     ISSN:  1062-2551     ISO Abbreviation:  J Healthc Qual     Publication Date:    1995 Jan-Feb
Date Detail:
Created Date:  1995-02-22     Completed Date:  1995-02-22     Revised Date:  2000-12-18    
Medline Journal Info:
Nlm Unique ID:  9202994     Medline TA:  J Healthc Qual     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  11-3; quiz 13, 35, 50     Citation Subset:  H    
Affiliation:
Tanner Medical Center, Carrollton, GA.
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MeSH Terms
Descriptor/Qualifier:
Cost Control
Episode of Care
Financial Management, Hospital / methods*
Health Care Reform / economics*
Hospital Costs
Managed Care Programs / economics
United States
Utilization Review / economics*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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