Quality Improvement and Risk Management
- 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.
- Criteria
- 1. A health insurance company has been identified.
- 2. Cost control have been presented.
- 3. An informative summary is included.
- 4. APA guidelines
