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  2. Acceptable use policy - Wikipedia

    en.wikipedia.org/wiki/Acceptable_use_policy

    An acceptable use policy (AUP) (also acceptable usage policy or fair use policy (FUP)) is a set of rules applied by the owner, creator, possessor or administrator of a computer network, website, or service that restricts the ways in which the network, website or system may be used and sets guidelines as to how it should be used.

  3. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  4. Andersen healthcare utilization model - Wikipedia

    en.wikipedia.org/wiki/Andersen_healthcare...

    The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services. According to the model, the usage of health services (including inpatient care, physician visits, dental care etc.) is determined by three dynamics: predisposing factors, enabling factors, and need.

  5. Health Insurance Portability and Accountability Act - Wikipedia

    en.wikipedia.org/wiki/Health_Insurance...

    Health Insurance Portability and Accountability Act of 1996; Other short titles: Kassebaum–Kennedy Act, Kennedy–Kassebaum Act: Long title: An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use ...

  6. Policy Governance - Wikipedia

    en.wikipedia.org/wiki/Policy_Governance

    Policy Governance begins with a definition of governance as "Seeing to it that the organization achieves what it should and avoids unacceptable situations." From this definition, board governance is at an arm's length from operations. The board's primary relationship is with the organization's 'ownership'.

  7. Health policy and management - Wikipedia

    en.wikipedia.org/wiki/Health_policy_and_management

    Access to care and Rationing are important dimensions of Health Policy and Management (HPAM) because they address the market force that impacts how and when people get health care services. Rationing in health care occurs due to scarcity; everyone cannot have access to every service and treatment because it would not be an efficient use of ...

  8. CVS Health (CVS) Q3 2024 Earnings Call Transcript - AOL

    www.aol.com/cvs-health-cvs-q3-2024-173019204.html

    Image source: The Motley Fool. CVS Health (NYSE: CVS) Q3 2024 Earnings Call Nov 06, 2024, 8:00 a.m. ET. Contents: Prepared Remarks. Questions and Answers. Call ...

  9. Corrective and preventive action - Wikipedia

    en.wikipedia.org/wiki/Corrective_and_preventive...

    Corrective actions are implemented in response to customer complaints, unacceptable levels of product non-conformance, issues identified during an internal audit, as well as adverse or unstable trends in product and process monitoring such as would be identified by statistical process control (SPC). Preventive actions are implemented in ...