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Related Experiment Videos

The utilization management--Internet interface.

E S Gross1

  • 1Clinical Services, McKesson HBOC Medical Management Products Group, Marlborough, Massachusetts, USA.

Managed Care Interface
|August 24, 2001
PubMed
Summary
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Utilization management is ending as health plans prioritize cost consciousness. The internet will drive future changes in healthcare cost management and physician decision-making.

Area of Science:

  • Healthcare Management
  • Health Economics
  • Medical Informatics

Background:

  • The traditional model of utilization management, characterized by intense scrutiny of physician treatment decisions, is declining.
  • Health plans are increasingly shifting focus from utilization management to broader cost-consciousness strategies.

Purpose of the Study:

  • To analyze the transition away from traditional utilization management.
  • To explore the emerging role of the internet in healthcare cost management and physician oversight.

Main Methods:

  • Qualitative analysis of healthcare industry trends.
  • Review of health plan executive perspectives on cost containment.

Main Results:

  • Physician treatment decision scrutiny is diminishing.

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  • The internet is emerging as a key platform for implementing cost-conscious healthcare strategies.

    • Conclusions:

    • The era of intensive utilization management is concluding.
    • Health plans are adopting internet-based solutions for cost management, signaling a significant shift in healthcare administration.