Utilization management in quality healthcare

According to Patt (2018), utilization management has remained a significant administrative burden, a barrier to patient happiness, and an economic and efficiency risk in many practices. However, it is also a vital practice to effectively regulate expenditures, curb non–evidence-based therapeutic excitement, and function as quality control to guarantee that the correct patient receives the proper treatment at the right time. Utilization management improves patient care by ensuring that they receive the most appropriate service. Payers can limit the use and sustain patient-centered treatment using value-based routes, an essential quality and value metric. The systems that support us in providing care can help us improve the quality of care by facilitating evidence-based and value-based decisions and employing collaborative information systems to track and report to reduce the administrative burden and inefficiency in practice.

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