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ABOUT ARMY MEDICINE
OMBUDSMAN
PROGRAM
FOIA/PRIVACY
JOBS
TRICARE
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- Utilization management is an
organization wide, interdisciplinary approach to balancing
quality, risk, and cost concerns in the provision of patient
care.
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- Uses a systematic, data-driven
processes to proactively define healthcare service patterns
for focused interventions, as well as identify and improve
clinical business outcomes.
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- It is the process of evaluating the
medical necessity, appropriateness, and efficiency of
healthcare services.
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- We ensure collaboration and
communication among all MM staff, including clinical and
business personnel, to ensure efficient, effective, quality
care and services.
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- Our ultimate goal is to
maintain the quality and efficiency of healthcare delivery,
by caring for you, our patients at the appropriate level of
care, coordinating healthcare benefits, ensuring the least
costly, but most effective treatment benefit and presence of
medical necessity.
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