Advantages of local UR (utilization review)

Physician Exec. 1990 Jan-Feb;16(1):7-9.

Abstract

Physicians recognize that there is a certain amount of waste and inefficiency in the current health care delivery system. They also realize that everyone stands to gain if the areas of waste can be identified and eliminated. Statistics consistently reveal that a small percentage of providers and patients are responsible for a very large percentage of inappropriate care. A properly structured utilization review program is a reasonable way to rid the delivery system of this waste.

MeSH terms

  • Decision Making
  • Humans
  • Insurance Claim Review / organization & administration*
  • Insurance, Health / organization & administration*
  • Interprofessional Relations
  • Models, Theoretical
  • Physicians / standards*
  • Specialty Boards
  • United States
  • Utilization Review / organization & administration*