Utilization Management

Utilization Management: The principal objective of utilization management is the reduction of practice variations by establishing parameters for the cost-effective use of health care resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality.  1. Refer to the readings of this week and the Internet on the above information, answer the following questions:  A. What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges?  B. Differentiate between the three main processes of institutional utilization management.  C. Determine the main purposes of each process of institutional utilization management? Which process do you think is the most important, and why? D. Research the role of the utilization management nurse.  E. Explain the functions of the utilization management nurse, and compare and contrast the information from that organization.  F. Explain your understanding of disease management and case management. What is your opinion are one major similarity and one major difference between the two types of management?  2. Now, access information on disease and case management by searching the Internet by using the following keywords:  A. Care Continuum Alliance.  B. Commission of Case Manager Certification.  3. Based on your research, answer the following questions:  A. What is the purpose or mission of these professional organizations?  B. What standards do these organizations set for certification or membership?  C. How do these organizations define disease or case management and do they differ from the text definitions?  To support your work, use your course and textbook readings and also use online Sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.  Your initial posting should be addressed in a minimum of 300 words.  Be sure to cite your sources using APA format.  Justify your answers with examples, research, and reasoning.

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more