Health Care Utilization Examples

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Utilization Management in Healthcare Smartsheet

(7 days ago) WebHere is another example of how utilization management improves care: A hospital admits a heart attack patient after they have been stabilized in the ER. The hospital contacts the patient’s insurance …

https://www.smartsheet.com/content/utilization-management

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A Description of Theoretical Models for Health Service …

(3 days ago) WebThe delivery of healthcare contributes toward individual, community, and population level health outcomes. 3 Therefore, research efforts to understand the health …

https://journals.sagepub.com/doi/full/10.1177/00469580231176855

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Utilization Management 101: Why it's Important in Healthcare

(3 days ago) WebA set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case …

https://www.edenhealth.com/blog/what-is-utilization-management/

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Health Care Utilization SpringerLink

(4 days ago) WebAn example of this type of utilization data is the CDC’s National Ambulatory Medical Care Survey in which a representative sample of office-based providers are queried to provide …

https://link.springer.com/referenceworkentry/10.1007/978-1-4419-1005-9_885

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How has healthcare utilization changed since the pandemic?

(1 days ago) WebIn 2021, healthcare prices increased by 2.9%, in line with previous years, but health services use increased by 7.3% relative to 2020. This increase in healthcare use …

https://www.healthsystemtracker.org/chart-collection/how-has-healthcare-utilization-changed-since-the-pandemic/

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Health Care Utilization - an overview ScienceDirect Topics

(1 days ago) WebHealth Care Utilization. The Medical Expenditure Panel Survey is a nationally representative survey of health-care utilization and expenditures for the U.S. …

https://www.sciencedirect.com/topics/nursing-and-health-professions/health-care-utilization

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Healthcare Cost and Utilization Project (HCUP)

(1 days ago) WebNational (Nationwide) Inpatient Sample (NIS) The National (Nationwide) Inpatient Sample (NIS) is the largest publicly available all-payer hospital inpatient care database in the …

https://www.ahrq.gov/data/hcup/index.html

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Trends in Health Care Utilization and Expenditures in the …

(3 days ago) WebHealth care expenditures in the United States are high and rising, 1 and the dynamics of health insurance coverage, out-of-pocket expenditures for health care, …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8263477/

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Utilization Management - StatPearls - NCBI Bookshelf

(5 days ago) WebUtilization Management (UM), initially referred to as Utilization Review (UR), remains a well-recognized component of a cost management approach in the health care service delivery and payment …

https://www.ncbi.nlm.nih.gov/books/NBK560806/

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Healthcare Utilization SpringerLink

(6 days ago) WebHealthcare utilization includes complex and multifaceted behaviors with many influences beyond those related to health and illness. Sociodemographic …

https://link.springer.com/referenceworkentry/10.1007/978-3-319-69892-2_991-1

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How Utilization Review Works - Verywell Health

(1 days ago) WebSummary. Utilization review is a process designed to ensure that medical care is effective, efficient, and in line with evidence-based standards of care. Utilization review specialists are often nurses. …

https://www.verywellhealth.com/utilization-review-what-it-is-how-it-works-1738788

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METHODS FOR ANALYZING HEALTH CARE UTILIZATION AND …

(2 days ago) WebAbstract Important questions about health care are often addressed by studying health care utilization. Utilization data have several characteristics that make them a …

https://www.annualreviews.org/content/journals/10.1146/annurev.publhealth.20.1.125

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Health-Care Utilization as a Proxy in Disability Determination.

(5 days ago) WebThe committee was tasked with identifying factors that influence a person's use of health-care services, including poverty and level of urbanization. This chapter will …

https://www.ncbi.nlm.nih.gov/books/NBK500097/

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Indicators to monitor health-care capacity Indicators to …

(Just Now) Web2.2 Health-care capacity and utilization indicators The following table outlines 11 core indicators and 9 desirable indicators that can be used to monitor health-care capacity …

https://apps.who.int/iris/bitstream/handle/10665/333754/WPR-DSE-2021-026-eng.pdf

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Patterns and predictors of private and public health care utilization

(7 days ago) WebDistribution of study sample by patterns of health care utilization. Table 2 shows a detailed distribution of the study sample by the type of health facility visited. …

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-10836-3

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Early 2021 data show no rebound in health care utilization

(1 days ago) WebHospital admissions remained below expected levels through early April 2021. The Epic Health Research Network (EHRN) data show hospital admissions …

https://www.healthsystemtracker.org/brief/early-2021-data-show-no-rebound-in-health-care-utilization/

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Healthcare Access & Utilization Survey – All of Us Research Hub

(2 days ago) Web2017. Brief Description. The National Health Interview Survey (NHIS) is a program of the CDC’s National Center for Health Statistics. Since 1957, the NHIS has collected data on …

https://researchallofus.org/data-tools/survey-explorer/healthcare-access-utilization-survey/

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Health Care Costs and Affordability KFF

(4 days ago) WebIn 2021, health services use increased by 8.6%. This increase in health care use in 2021 followed a sharp decrease in health utilization in 2020. Health care prices …

https://www.kff.org/health-policy-101-health-care-costs-and-affordability/

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The Impact of COVID-19 on Asthma Diagnosis, Health Care …

(2 days ago) WebThe second poster aimed to examine the impact of the COVID-19 pandemic on health care utilization for pediatric patients with asthma. 2. The study included …

https://www.ajmc.com/view/the-impact-of-covid-19-on-asthma-diagnosis-health-care-utilization

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Long-term acute care hospitals and Georgia Medicaid: Utilization

(2 days ago) WebOur study sample consisted of fee-for-service Medicaid members who were admitted to an LTAC. NM, Appleby, D. Long-term acute care hospital utilization after …

https://journals.sagepub.com/doi/full/10.1177/2050312116670928

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Members in Action: Improve Quality & Patient Outcomes

(7 days ago) Webvalue-based strategies to improve health care affordability. This includes work to redesign the delivery system, manage risk and new payment models, improve …

https://www.aha.org/system/files/media/file/2020/03/value-initiative-members-in-action-study-grady-health-system-atlanta-ga-3-16-2020.pdf

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Effect of Medicaid Disenrollment on Health Care Utilization - LWW

(5 days ago) Webtive: We estimated changes in all-cause and MH-related health care use post Medicaid disenrollment among a nationwide cohort of adults with MH disorders. Subjects: We …

https://journals.lww.com/lww-medicalcare/Abstract/2019/08000/Effect_of_Medicaid_Disenrollment_on_Health_Care.2.aspx

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Health Data and Statistics Georgia Department of Public Health

(Just Now) WebThe Georgia Department of Public Health has two ways to access Georgia’s public health data: The Online Analytical Statistical Information System (OASIS) is a web-based tool …

https://dph.georgia.gov/about-dph/health-data-and-statistics

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Gaps during Pediatric to Adult Care Transfer Escalate Acute …

(8 days ago) WebThis study confirms that transfer gaps less than six months are effective in reducing acute healthcare utilization for sickle cell disease. 1.17, 3.04) when …

https://ashpublications.org/bloodadvances/article/doi/10.1182/bloodadvances.2023011268/516194/Gaps-during-Pediatric-to-Adult-Care-Transfer

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Utilization Review Methods in Healthcare - 860 Words Essay …

(9 days ago) WebIssues with the quality of care are frequently found while examining medical records for other problems, such as medical necessity. To ensure that the health care …

https://ivypanda.com/essays/utilization-review-methods-in-healthcare/

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A Global Approach to Evaluation of Health Services Utilization

(3 days ago) WebHealth services utilization has been the subject of many books and papers published in recent years. Utilization is defined as the outcome of the interaction between health …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3107120/

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Who is your prenatal care provider? An algorithm to identify the

(8 days ago) WebHaving a usual source of care has a substantial positive impact on patients and outcomes. Such continuity of care (COC), due to the usual source of care [1, 2], is …

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-024-11080-2

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Clinical Testing Guidance for Tuberculosis: Health Care Personnel

(5 days ago) WebU.S. health care personnel without latent TB infection should not undergo routine serial TB screening or testing at any interval after baseline (e.g., annually). …

https://www.cdc.gov/tb-healthcare-settings/hcp/screening-testing/index.html

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Medicaid Commonwealth of Pennsylvania - PA.GOV

(8 days ago) WebMedicaid covers a broad range of physical and behavioral health services, including doctor visits when you’re sick, preventive care like health screenings, vaccines, hospital stays, …

https://www.pa.gov/en/agencies/dhs/resources/medicaid.html

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Human and financial resource needs for universal access to WHO …

(4 days ago) WebEswatini faces persistent challenges in providing care for diabetes and hypertension, exacerbated by a shortage of healthcare workers. The implementation of …

https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-024-00913-0

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H. Rept. 118-528 - Congress.gov

(9 days ago) Webh. rept. 118-528 - military construction, veterans affairs, and related agencies appropriations bill, 2025 118th congress (2023-2024)

https://www.congress.gov/congressional-report/118th-congress/house-report/528/1

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Health Status and Health Care Service Utilization - Retooling for an

(5 days ago) WebMany older adults are actually in very good health, for example—44 percent of adults in the 65-74 age range and 35 percent of adults 75 and older report their health status to be …

https://www.ncbi.nlm.nih.gov/books/NBK215400/

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Global report reveals major gaps in menstrual health and hygiene …

(6 days ago) WebNEW YORK, GENEVA, 28 May 2024 – Around the world, menstrual health and hygiene needs are being overlooked due to limited access to information, education, …

https://www.who.int/news/item/28-05-2024-global-report-reveals-major-gaps-in-menstrual-health-and-hygiene-in-schools

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South Africa's National Health Insurance (NHI) Bill: Why it is - BBC

(6 days ago) WebThe DA says it will institute legal action in a bid to stop the scheme being implemented. It says it stands for universal health care, but the NHI will "destroy South …

https://www.bbc.com/news/articles/c1030v3p1r8o

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Department of Human Services Commonwealth of Pennsylvania

(9 days ago) WebDrug Utilization Review (DUR) Board Health Care Quality Units MDS CMS Data Pay for Performance (P4P) Incentive Payments Special Pharmaceuticals External Resources …

https://www.pa.gov/en/agencies/dhs.html

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Work-in-Progress Draft Report of the IoT Advisory Board

(7 days ago) Webresponsive actions. For example, pool safety is a concern for families with young children. Connected video cameras monitor the swimming pool, alerting residents …

https://www.nist.gov/system/files/documents/2024/05/13/Draft%20IoTAB%20Report%2020240513%20v5.pdf

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