Concepedia

Utilization Management Oversight

Utilization Management Oversight is a regulatory framework within Medicare Managed Care Regulation that systematically monitors, evaluates, and ensures the appropriateness, medical necessity, and efficiency of healthcare services delivered to beneficiaries through managed care organizations.

6

Publications

103

Citations

18

Authors

10

Institutions

Publications per year

2017–2026

1

Parents

Publications

6

Streamlining and Reimagining Prior Authorization Under Value-Based Contracts: A Call to Action From the Value in Healthcare Initiative’s Prior Authorization Learning Collaborative

Mitchell A. Psotka, Elizabeth Singletary, William K. Bleser et al. · Circulation Cardiovascular Quality and Outcomes · 2020 · 31 citations · Full text

, , +17

Should We Regulate ‘Utilization Management?’

Marilyn J. Field, Bradford H. Gray · Health Affairs · 1989 · 17 citations

, , +9

ERISA Litigation and Physician Autonomy

Peter Jacobson · JAMA · 2000 · 16 citations

, , +16

Utilization management in the blood transfusion service

J Peña · Clinica Chimica Acta · 2013 · 16 citations · Full text

, , +14

Utilization management: a medical responsibility.

A. L. Linton, David Peachey · PubMed · 1989 · 12 citations

, , +12

1–5 of 6

Authors

18

  1. PJ
    Peter Jacobson

    University of Gothenburg, Sweden

    1 publications · 16 citations

    1

    h-index

  2. BH
    Bradford H. Gray

    Urban Institute, United States

    1 publications · 17 citations

    1

    h-index

  3. RR
    Rachel Roiland

    William S. Middleton Memorial Veterans Hospital, United States

    1 publications · 31 citations

    1

    h-index

  4. RA
    Robert A. Berenson

    Urban Institute, United States

    1 publications · 11 citations

    1

    h-index

  5. RS
    R. S. Saunders

    Duke University, United States

    1 publications · 31 citations

    1

    h-index

1–5 of 18

Institutions

10

  1. Alaska Heart and Vascular Institute

    Anchorage, United States

    1 h-index

    1 publications

    31 citations

  2. Duke University

    Durham, United States

    1 h-index

    7 publications

    217 citations

  3. National Academy of Medicine

    Washington D.C., United States

    1 h-index

    1 publications

    17 citations

  4. American Heart Association

    Dallas, United States

    1 h-index

    1 publications

    31 citations

  5. MACOM (United States)

    Lowell, United States

    1 h-index

    1 publications

    31 citations

  6. Massachusetts General Hospital

    Boston, United States

    1 h-index

    1 publications

    16 citations

  7. Western University

    London, Canada

    1 h-index

    1 publications

    12 citations

  8. Center For Policy Research

    Denver, United States

    1 h-index

    3 publications

    93 citations

1–8 of 10

Venues

  1. PubMed

    Repository · 2 publications · 23 citations

    2

    h-index

  2. 1

    h-index

  3. Clinica Chimica Acta

    CCA · 1 publications · 16 citations

    1

    h-index

  4. Health Affairs

    1 publications · 17 citations

    1

    h-index

  5. JAMA

    1 publications · 16 citations

    1

    h-index

1–5