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Effective Strategies for Achieving Cost $19.95

Effective Strategies for Achieving Cost

When it comes to achieving success in payer settings, finding the optimal balance between cost of care and quality of outcomes is essential. This course will focus on fundamental knowledge points needed to improve quality and decrease healthcare costs within the payer environment. In this course, you will learn to apply evidence based practices used to improve health outcomes for member populations. Additionally, you will learn the role of medical necessity criteria and application of medical necessity criteria frameworks to create a roadmap for optimal care that is financially responsible. Finally, you will learn about the role of utilization management including common misconceptions about the purpose of utilization management, key metrics every utilization manager needs to be aware of, and the review and appeals process.
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Effective Strategies for Achieving Cost
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