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CDHPs cannot effectively decrease health care costs without the ability for consumers to compare prices prior to use. [31] [32] While cost-estimator tools have become available as part of a broad trend towards consumer-driven health technology in the United States, they often do not use actual negotiated rates and lack quality information. [33]
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 Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).
RICHMOND, Ind. — On March 18, Anthem Blue Cross and Blue Shield customers might lose insurance access from the Reid Health network of medical providers, according to both agencies.
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