Archive | Utilization Management

Peer Review: Benefiting Patients and Physicians

Many physicians are experts in their areas of practice, but the medical field is vast, and there’s no way for one doctor to be an expert in everything. It is impossible to keep up with each advancement for every condition or treatment option. That is why physicians and health care facilities use the peer review […]

Rural Workers’ Compensation and the Role of Telemedicine

We’ve talked about telemedicine before on the AMR blog, outlining some of the pros and cons, as well as addressing how it might be funded. This post focuses on workers’ compensation in rural areas, and how telemedicine could play a crucial role in improving healthcare experiences for rural workers. As a refresher, telemedicine is care […]

The Latest on Obesity, Diet & Exercise

The United States has long heard it has an obesity epidemic. According to the U.S. Centers for Disease Control and Prevention, 36.5 percent of U.S. adults are obese, which leads to health problems like heart disease, type 2 diabetes, certain cancers and premature death. But being overweight is not just a problem for people in […]

Workers’ Compensation: Keeping Workers Safe by Prioritizing Prevention

Adults spend a significant amount of their lives at work. Some individuals have 9-to-5 desk jobs while others hold more physically demanding positions in agriculture, manufacturing and construction. Whatever the work environment, employees expect to be safe from unreasonable dangers and to be able to get up and go to work again the next day. […]

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 […]

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