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Concurrent drug utilization review refers to conducting the review concurrently with the process of dispensing medication for patients. [11] It means that the dispensing process will stop if a potential problem occurs and it is found by the review.
Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its medical appropriateness before it is provided, by using evidence-based criteria or guidelines.
DUR can be performed in prospective, concurrently, or retrospectively. Prospective DUR review is when a patient's planned drug therapy is evaluated before a medication is dispensed. Concurrent review is performed during the course of treatment with ongoing drug therapy. A retrospective DUR reviews drug therapy after the drug therapy is completed.
MeSH N04.452.289 – facilities and service utilization; MeSH N04.452.289.500 – emergency room visits; MeSH N04.452.313 – fee schedules; MeSH N04.452.313.500 – relative value scales; MeSH N04.452.394 – governing board; MeSH N04.452.394.600 – trustees; MeSH N04.452.442 – hospital facility administration
URAC's accreditation programs include specialty pharmacy, digital health, utilization management, health plan, case management, and others. [4] In order to earn an accreditation, organizations submit various policies and procedures which are reviewed by a nurse or pharmacist and then the Accreditation Committee. [5] Accreditation lasts for ...
Image source: The Motley Fool. UnitedHealth Group (NYSE: UNH) Q3 2024 Earnings Call Oct 15, 2024, 8:45 a.m. ET. Contents: Prepared Remarks. Questions and Answers. Call Participants
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [1] [2] A discipline-specific process may be referenced accordingly (e.g., physician peer review, nursing peer review).
Concurrent Engineering is a systematic approach to the integrated, concurrent design of products and their related processes, including, manufacturing and support. This approach is intended to cause the developers from the very outset to consider all elements of the product life cycle, from conception to disposal, including quality, cost ...