Video Talk:Utilization management
Proposed merge with Utilization review
I'd like to suggest that the article on Utilization review be merged with this one. Both articles are dealing with the same basic topic - the Utilization review article even starts with the sentence "Utilization review is most commonly known as Utilization Management." That article has the most content (though it isn't sourced), while this one has the more appropriate name if we're going to talk about the entire process. It seems to me that we should bring over the text from the Utilization review article and put it in this one, then re-direct Utilization management to this article on Utilization management. If no one objects, I'd be glad to take a stab at it. EastTN (talk) 14:06, 30 April 2008 (UTC)
I do agree and second this proposal. --Preceding unsigned comment added by 72.187.121.86 (talk) 05:18, 27 February 2010 (UTC)
I found 885,000 matches on Google on the term "Utilization review nurse." 7,320,000 results for "Utilization review" 1,830,000 matches for "Utilization management." These numbers are all substantial. My ERISA articles on CIGNA and Aetna et. al. are riddled with the term "Utilization review," and this is because this was the term used in the case and the proceedings. Utilization management just doesn't carry the same connotation, especially with respect to this Supreme Court ruling. I agree there are similarities, but because of the number of references I have to this term I really need to have a page that defines it without ambiguity. This case is complicated enough to describe without having ambiguity in a fundamental term such as this. I am sure I can find a suitable definition in the 7,320,000 matches on internet search. MarySteinborn (talk) 17:52, 2 May 2012 (UTC)
I don't agree that UR and UM are synonymous. A utilization review is in my view a specific action performed (mostly by a UM Reviewer who is an RN) as part of a UM program. The UM program determines who does reviews, how often, and according to which criteria set. For example, the UM program may stipulate that a review is carried out in 90% of cases on each day of inpatient care, and be done using the McKesson InterQual UM criteria. UM is the organizing framework within which roles, reviews, and criteria are determined. As such, the UR is a subset of UM, not the same thing. Thanks.71.218.215.81 (talk) 15:11, 8 August 2014 (UTC)
Added text iro case management after discussion with UM program director Mloxton (talk) 19:58, 2 September 2015 (UTC)
Not so keen to redo just to fit new format rules. Will get to it at some point when I have new content to add § Mloxton --Preceding undated comment added 21:33, 20 February 2018 (UTC)
Maps Talk:Utilization management
"four basic techniques in utilization management"
I haven't found any references for this text, and although the items in the list look fair enough, only Utilization Review and Case Management really look like they fit snugly under UM. Demand Management would maybe sit better under flow management as a broader topic than UM, and Disease Management seems to be a bit outside UM and fit better with clinical care, epidemiology, etc.Mloxton (talk) 21:33, 12 August 2014 (UTC)
Deleted the section since I have still not found anything to support them as recognized "techniques" of UM.Mloxton (talk) 18:23, 19 January 2015 (UTC)
Source of the article : Wikipedia
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