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Related Experiment Videos

Technology and outpatient review: a preliminary evaluation.

A Bergman1, M Henderson, J L Cline

  • 1Brandeis University, Waltham, MA.

QRB. Quality Review Bulletin
|June 1, 1990
PubMed
Summary

Parkside Health

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Area of Science:

  • Health Services Research
  • Health Economics
  • Medical Technology Assessment

Background:

  • Traditional cost-control programs often overlook outpatient services.
  • Parkside Health Management Corporation introduced a new review program.
  • This program targets specific high-technology and non-catastrophic treatments.

Purpose of the Study:

  • To evaluate the pilot test of the Technology and Outpatient Review (TOR) program.
  • To determine the impact of TOR on healthcare costs and utilization.
  • To assess the appropriateness of care and patient satisfaction under TOR.

Main Methods:

  • The study evaluates a pilot test of Parkside's Technology and Outpatient Review (TOR) program.
  • TOR focuses on treatments and procedures in outpatient settings and specific inpatient services.
  • Researchers are assessing cost, utilization, appropriateness, and patient satisfaction.

Main Results:

  • The TOR program examines treatments accounting for approximately 6% of claims expenses.
  • The pilot test aims to quantify the effects of this targeted review.
  • Specific procedures reviewed include chiropractic, podiatric, physical therapy, C-section, endoscopy, ultrasound, and lithotripsy.

Conclusions:

  • The TOR program represents a novel approach to healthcare cost and utilization management.
  • Further evaluation is needed to confirm the program's effectiveness and impact on patient care.
  • This targeted review may offer insights into managing costs for a specific segment of healthcare services.

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