: Utilization Of Services

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HA3110D – Quality Improvement and Risk Management

LP09 Assignment: Utilization of Services

What utilization management practices does your health insurance company follow to control costs and ensure the provision of medically necessary services?

Directions

Find out what utilization management practices your health insurance company follows. This information may be available in your insurance benefits booklet or on your health plan’s website. If you do not have health insurance, go to the website of any major health insurance company and list the practices this company follows to control costs and to ensure the provision of medically necessary services. Provide a summary of your learning.