What is utilization management in managed care


Problem 1:

a. What is Utilization Management in Managed Care?

b. What is the role of Utilization Management in Managed Care?

c. What is the importance of it?

d. What are the basic components of Utilization Management?

e. What are to goals of it?

Problem 2: Please, make a research using our textbook and Internet resources to identify IBNR claims. Why is this information crucial and how it is effect financial "bottom line"?

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