Concepedia

Utilization Management Reform

Utilization Management Reform is a systematic policy framework within managed care regulation that modifies criteria, processes, and oversight mechanisms for healthcare service approval to enhance clinical appropriateness, cost-efficiency, and patient access while reducing administrative burden and utilization barriers.

10

Publications

273

Citations

17

Authors

11

Institutions

Publications per year

2017–2026

0

Parents

Publications

10

Managed Care Rebound? Recent Changes In Health Plans' Cost Containment Strategies

Glen P. Mays, Gary Claxton, Justin S. White · Health Affairs · 2004 · 73 citations

, , +17

Back To The Drawing Board: New Directions In Health Plans’ Care Management Strategies

Suzanne Felt-Lisk, Glen P. Mays · Health Affairs · 2002 · 36 citations

, , +17

New Guidelines for Coding Physicians' Services — A Step Backward

Allan S. Brett · New England Journal of Medicine · 1998 · 36 citations

, , +17

The Death of Managed Care: A Regulatory Autopsy

Mark A. Hall · Journal of Health Politics Policy and Law · 2005 · 34 citations

, , +17

The impact of Blue Cross and Blue Shield Plan utilization management programs, 1980-1988.

Scheffler Rm, Sullivan Sd, Ko Th · PubMed · 1991 · 22 citations

, , +17

1–5 of 10

Authors

17

  1. BW
    Ben Wheatley

    MedStar National Rehabilitation Hospital, United States

    2 publications · 26 citations

    2

    h-index

  2. GP
    Glen P. Mays

    University of Kentucky, United States

    2 publications · 109 citations

    2

    h-index

  3. GD
    Gerben DeJong

    MedStar National Rehabilitation Hospital, United States

    2 publications · 26 citations

    2

    h-index

  4. JP
    Janet P. Sutton

    MedStar National Rehabilitation Hospital, United States

    2 publications · 26 citations

    2

    h-index

  5. JS
    Justin S. White

    Stanford University, United States

    1 publications · 73 citations

    1

    h-index

1–5 of 17

Institutions

11

  1. MedStar National Rehabilitation Hospital

    Washington D.C., United States

    2 h-index

    6 publications

    78 citations

  2. Mathematica Policy Research

    Princeton, United States

    1 h-index

    1 publications

    36 citations

  3. University of South Carolina

    Columbia, United States

    1 h-index

    1 publications

    36 citations

  4. Urban Institute

    Washington D.C., United States

    1 h-index

    1 publications

    17 citations

  5. Berkeley Public Health Division

    Berkeley, United States

    1 h-index

    1 publications

    22 citations

  6. University of California, Berkeley

    Berkeley, United States

    1 h-index

    3 publications

    66 citations

  7. Sutton Hospital

    London, United Kingdom

    1 h-index

    3 publications

    39 citations

  8. Educational Service District 105

    Yakima, United States

    1 h-index

    1 publications

    11 citations

1–8 of 11

Venues

  1. Health Affairs

    4 publications · 137 citations

    4

    h-index

  2. PubMed

    Repository · 2 publications · 40 citations

    2

    h-index

  3. Health Care Management Review

    2 publications · 26 citations

    2

    h-index

  4. New England Journal of Medicine

    NEJM · 1 publications · 36 citations

    1

    h-index

  5. Journal of Health Politics Policy and Law

    JHPPL · 1 publications · 34 citations

    1

    h-index

1–5