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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 ...
Many of these jobs do not require much training and some are performed remotely, accommodating the retirement lifestyle of seniors. According to the senior advocacy group AARP , 26% of U.S. adults ...
This job often comes with flexible schedules that suit retiree lifestyles, with opportunities for both part-time and remote work. 6. Teacher or substitute teacher
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
Throughout the United States, any home health agency that accepts Medicare must employ certified home health aides who've undergone a minimum 75 hours of training, including 16 hours of on-the-job instruction. Individual states may also impose additional screening and training requirements on live-in care agencies that accept Medicare.