Answered You can buy a ready-made answer or pick a professional tutor to order an original one.

QUESTION

1) What are the primary categories of utilization management (UM)? How does UM determine medical necessity through the use of evidence-based guidelines?2) What are the key differences between convent

1) What are the primary categories of utilization management (UM)? How does UM determine medical necessity through the use of evidence-based guidelines?

2)  What are the key differences between conventional case management and disease management? Provide some examples of diseases that seem to benefit from a disease management model of care.

Absolutely no plagiarism at all... 3-4 long paragraphs for both questions. Include in-text citations and references. 

Show more
  • @
  • 165 orders completed
ANSWER

Tutor has posted answer for $15.00. See answer's preview

$15.00

* ** uses evidence based ********** as **** ** ************ clinical ******** *** determining **** *** ** ********* necessary ** **** as appropriate *** **** ******* *** ******* ** **** as ************* ** ******* care ** in this *** **** ********** an ******** ***** approach ** health **** ************ ********* ** *********** ** ***** **** ** well as ********* *********** Management ** the function dealing specifically with *** medical necessity ** care It ** ********* **** ****** *********** ****** ** oversight *** ** ********* **** ** **** in case ********** interventions Moreover *** ********** ** ** ************* ***** ** *** light ** the **** **** either **** ** ***************** ***** **** ** lower ******* ** **** ** **** ** ***** costs ********* ***** ** ************* in this regard **** ** ****** **** the ******** ******* the right **** ** *** ***** **** ***** it is important ** **** **** UM’s goal is *** ** **** ******** **** *** ******* ** ****** **** *********** **** ** delivered ******* ***** ** *************** **** *** yield ********* ***** **** ***** sometimes outweigh *** potential benefits ** health **** ********* 2015) Primarily ***** *** ***** categories of Utilization ********** **** are *********** concurrent and ************* *********** implies ****** place ****** care ** ******** ********** means ****** ***** ***** **** ** being provided and ************* ******* ****** ***** after **** has been ******** However technology *** **** it ****** *** *** ********** ** use *********** ********** *** ******* *** ******** **** ***** **** ** *** ***** ***** *** **** ********** programs ********* ****** *** ******** *** *** ** a **** **** ** ********** ****** **************** ** well ** have ******* ****** ******** ******* ** their ****** *** ******* *************** Such ******** *** *** categorized ** high **** ******** *** **** varying combinations ** health ** **** ** ****** *********** disease ********** programs ** *** ***** hand ****** ****** *** ******** **** a ****** diagnosis ****** problem Although **** ******** ***** **** comorbid conditions those ***** **** ******* is * specific ********* generally **** * ********** ******** set ** needs ** ******* management ******** *** ** serve * ****** ***** ** ******** that **** a ****** ******* disease (Chen ***** ******* ***** all ******* ********** ** * ********* ******** ** ******** **** ** ** also * ***************** ****** at ********* *** quality ***** **** cost ************* ** **** *** ******** **** chronic ******** ***** are several ******** that seem ** ******* **** a disease ********** model ** **** ********* ****** ******** ********** arthritis ********************** * ****** The **** ** *********** Management ** Case ********** ****** Retrieved January ** **** **** http://wwwcmsaorg/Individual/NewsEvents/HealthTechnologyArticles/tabid/649/DefaultaspxChen A ****** **** ********* in Coordinated **** ************ Retrieved ******* ** **** **** **************************************************************

Click here to download attached files: UM uses evidence based guidelines as well as standardized clinical pathways for determining what may be medically necessary as well as appropriate and thus improve the quality as well as effectiveness of patie.docx
or Buy custom answer
LEARN MORE EFFECTIVELY AND GET BETTER GRADES!
Ask a Question