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https://www.changehealthcare.com/clinical-decision-support-solutions
Discover our clinical decision support solutions that help healthcare organizations make clinically appropriate medical utilization & care decisions. ... to name just a few of our transformative tools. ... Delivering Exception-Based Utilization Management. Appropriate Quality Care …
https://www.aruplab.com/um/decision-support
Clinical Decision Support. ARUP Consult is a web-based laboratory test selection tool that provides point-of-care diagnostic and interpretive information for physicians and clinicians. Coauthored and maintained by medical experts at the University of Utah School of Medicine and ARUP, Consult is available at no cost, and is organized into nearly ...
https://link.springer.com/chapter/10.1007/978-3-319-34199-6_4
Dec 01, 2016 · Abstract. Informatics underlies some of the most effective laboratory utilization management tools. For example, computerized provider order entry systems often offer clinical decision support functionality that utilization management teams can leverage to provide clinicians “just-in-time” test-ordering advice and alerts.Author: Jason Baron
https://www.bcbsnd.com/changes/providers/utilization-management
InterQual is a nationally recognized utilization management (UM) tool that will provide us with reliable, evidence-based clinical decision support. InterQual is trusted by more than 4,600 hospitals and facilities and more than 280 managed-care organizations.
https://www.cognizant.com/whitepapers/how-a-real-time-automated-decision-support-tool-can-cure-the-prior-authorization-time-drain-codex2728.pdf
How a Real-Time, Automated Decision-Support Tool Can Cure the Prior Authorization Time Drain ASSESSING MARKET NEEDS Tensions surrounding PAs have intensified over the past several years, as health insurance companies (e.g., payers) use these processes to rein in costs and avoid the utilization of low-value, overused treat-ments.
https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Clinical-Decision-Support/UtilizationManagementPart-1.pdf
Utilization Management in Radiology, Part 1: Rationale, History, and ... (CPOE) with real-time decision support (DS) tools. Bothmodelshaveadvantagesand disadvantages,which arereviewedinthisfirstofatwo-partseries.Part2will consider these models in the context of more estab-lished UM programs in other health care sectors and
https://rxinformer.healthesystems.com/article.php?id=80
Earlier and more aggressive application of utilization management tools can have a profound impact on improving patient care and achieving cost containment. There is significant opportunity to enhance the way in which drug utilization management tools are applied to better manage overall claim costs and improve patient care.
https://www.itnonline.com/content/military-health-system-selects-mckessons-interqual-utilization-management
Jan 28, 2016 · January 28, 2016 — The Military Health System has signed an agreement for its Military Treatment Facilities (MTFs) to use InterQual, an evidence-based clinical decision support tool. This tool is designed to complement, not replace, the healthcare professional’s clinical judgment in providing care at the most appropriate level.
https://www.healthcareitnews.com/news/reinventing-utilization-management-um-bring-value-point-care
Sep 18, 2017 · Reinventing Utilization Management (UM) to Bring Value to the Point of Care. ... Nilo Mehrabian: Vice President, Product Management, Decision Support, Change Healthcare. ... Healthcare IT News Australia; The Daily Brief Newsletter. In Person Events. Connected Health Conference.
https://q1medicare.com/q1group/MedicareAdvantagePartDQA/faq/What-are-drug-utilization-management-restrictions-/668/.html
Step Therapy - requiring that plan members try lower-costing medications (such as generics) before using a more expensive drug (usually a brand-name drug). Utilization management restrictions can be applied to any formulary drugs provided by your Medicare drug plan and this list can change year-to-year (meaning, you may find that if you stay ...
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