AU Outpatient Services Prioritization and Benefit Tiers Essay
Description
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Instructions
What Utilization Management (UM) practices do your health insurance company follow to control costs and ensure the provision of medically necessary services? This information may be available in your insurance benefits booklet or on your health plan’s website. If you do not have health insurance, go to the website of any major health insurance company, and list the practices this company follows to control costs and to ensure the provision of medically necessary services. Select two practices and explain how each practice helps to control costs and ensure UM practice.
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