Archive | Utilization Management

Days of Change – Workers’ Compensation In 2017 [Infographic]

From the election to recent statewide regulations, Workers’ Compensation is bracing for big changes in 2017. Find out more in our infographic!

Looking Ahead: Workers’ Compensation Reforms

The goal of workers’ compensation is to support employers and workers in offering the benefits workers need to recover from injuries or support themselves after becoming disabled. Every state has a workers’ compensation insurance system and specific guidelines within which businesses and employees must work. While the system has worked for many years, in recent […]

Issues Facing Men’s Health Today: Lack of Preventative Care

One of the ways men stay healthy throughout their lives is by participating in continuous medical care. By going to physicians they are familiar with for regular checkups, doctors are able to guide people’s behavior and health – or more importantly, notice signs of a potential problem. The point of these checkups is preventative care, […]

Issues Facing Men’s Health Today: Treatment Options

When people learn they have medical conditions, they naturally leap to the next step: treatment. But choosing the right treatment is not always a black-and-white process, particularly for men with prostate cancer. Each person’s injury or disease is affected by his or her gender, age, lifestyle and other medical needs. There is rarely only one […]

URAC Accreditation – Just what is it?

Check out the latest from Advanced Medical Reviews (AMR) on URAC Accreditations in a simple infographic. AMR is accredited as both an Independent Review Organization (IRO) for internal and external peer reviews, and for Health Utilization Management (UM).

Utilization Review (UR) for Sarcoma Treatment

Individuals battling sarcoma will undergo countless tests, procedures and treatments over the course of months or years. The goal of Utilization Review is for patients to receive the best care possible. Insurers use an evidence-based approach during Utilization Review to make sure patients do not receive duplicate or un-proven procedures.   Utilization Review During Sarcoma […]

The Role of EHRs in Patient Care

When people visit emergency rooms or even their family physicians, they are more likely to see the doctor use a computer or tablet in the office than pull out a paper file. This is because the health care industry has heavily shifted toward using electronic health records (EHR). These records encapsulate all patient data from […]

URAC accreditation: What does it mean?

In the late 1980s, there were no existing uniform standards for utilization review services, raising concern within the industry and highlighting a need for oversight. The Utilization Review Accreditation Commission was incorporated in 1990 to offer health organizations an opportunity to have trained reviewers examine their operations and publicly ensure they are delivering care in […]

Treatment Categories for Independent Medical Reviews in CA Infographic

Curious about the state of independent medical reviews (IMR) in California’s workers’ comp system? Our infographic shows statistics from 2014 for the top treatment categories and the most common IMR outcomes. Enjoy and share!

Obesity’s Impact on Health Care

Despite more than a decade of government-sponsored anti-obesity campaigns, a reduction in the consumption of soft drinks and a trend of fast-food menus listing calorie counts, obesity rates in the United States are still increasing. Every state in our nation has rates of obesity that are higher than 20 percent. Arkansas has the highest adult […]

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