In managed care, medical management has traditionally meant working to determine best practices and services to improve both quality and outcomes. However, over the last decade or so, this term is being used more and more loosely and has been watered down at best.
| BALTIMORE, May 31, 2019 /PRNewswire/ -- In managed care, medical management has traditionally meant working to determine best practices and services to improve both quality and outcomes. However, over the last decade or so, this term is being used more and more loosely and has been watered down at best.
The new Versant Health white paper—The benefits of true utilization management—discusses what medical management used to mean, how the term has become widely used and loosely interpreted, and what it means to truly provide medical (or utilization) management. “Today, medical management can mean anything from true utilization management, the purest definition, to pre- and/or post-claim submission, steerage, or the ‘gatekeeper’ model,” explains Elizabeth Klunk, RN, BSN, CCM-R, Senior Vice President at Versant Health, and author of the white paper. “The result is a very common term that no longer lives up to its original definition.” Versant Health believes true utilization management is a critical part of the managed care process. It helps support both members and providers efficiently and effectively by providing:
Learn more about what utilization management looks like in action. Download The benefits of true utilization management white paper from the Versant Health website today. About Versant Health Versant Health is one of the nation’s leading managed vision care companies serving more than 33 million members nationwide. Through our Davis Vision plans and Superior Vision plans, we help members enjoy the wonders of sight through healthy eyes and vision. Providing vision and eye health solutions that range from routine vision benefits to medical management, Versant Health has a unique visibility and scale across the total eye health value chain. As a result, members enjoy a seamless experience with access to one of the broadest provider networks in the industry and an exclusive frame collection. Commercial groups, individuals, third parties, and health plans that serve government-sponsored programs such as Medicaid and Medicare are among our valued customers. For more information visit versanthealth.com.
SOURCE Versant Health |
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