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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 ...
The IBR Plan has different terms and conditions depending on when the student borrowed. If the borrower is a "new borrower" on or after July 1, 2014, then the borrower will have payments that are generally 10% of discretionary income, and forgiveness is provided for after 20 years of qualifying payment. [ 2 ]
Researchers from the RAND Corporation estimated that "national health care spending could be reduced by 5.4% between 2010 and 2019" if the PROMETHEUS model for bundled payment for selected conditions and procedures were widely used. [50] This figure was higher than for seven other possible methods of reducing national health expenditures. [50]
The pneumonia severity index (PSI) or PORT Score is a clinical prediction rule that medical practitioners can use to calculate the probability of morbidity and mortality among patients with community acquired pneumonia. [1] The PSI/PORT score is often used to predict the need for hospitalization in people with pneumonia. [2]
Pneumocystis carinii pneumonia (now called Pneumocystis pneumonia) primary care physician (also called primary care provider) PCR: patient care report polymerase chain reaction: PCS: post-concussion syndrome: PCT: progesterone challenge test Patient care technician: PCV: packed cell volume (see hematocrit) polycythemia vera: PCWP: pulmonary ...
Diagnosis of pneumonia is made clinically, rather than on the basis of a particular test. [13] Evaluation begins with a physical examination by a health provider, which may reveal fever, an increased respiratory rate , low blood pressure (hypotension), a fast heart rate (tachycardia) and changes in the amount of oxygen in the blood.
Necrotizing pneumonia (NP), also known as cavitary pneumonia or cavitatory necrosis, is a rare but severe complication of lung parenchymal infection. [ 5 ] [ 6 ] [ 7 ] In necrotizing pneumonia, there is a substantial liquefaction following death of the lung tissue, which may lead to gangrene formation in the lung.
Pneumococcal pneumonia is a type of bacterial pneumonia that is caused by Streptococcus pneumoniae (pneumococcus). [1] It is the most common bacterial pneumonia found in adults, the most common type of community-acquired pneumonia, and one of the common types of pneumococcal infection. The estimated number of Americans with pneumococcal ...
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