Beginning in 1908, federal and state governments established workers’ compensation (WC) programs for employees in hazardous work environments. Programs were enacted in all 50 states by 1949, and the social insurance program is still regulated state-by-state today. That is not to say, however, that nothing has changed. Workers’ compensation programs have expanded and improved significantly […]
Tag: independent review organization
Clear communication is essential in many facets of life. Whether it’s a teacher telling students about classroom rules or a physician explaining a diagnosis to a patient, providing easy-to-understand direction is important. This need for clear and open communication is evident in the healthcare industry because it can make the difference in outcomes, patient safety, […]
What is an IRO and IMR and DUR? Find out what these acronyms mean and how they relate to one another in the latest infographic from AMR!
2017 is here! Last year was a phenomenal year for Advanced Medical Reviews, so let’s take a moment to look back on 2016 and all that we accomplished. We hope you enjoy our very first Video Blog!
Over the past few years, America has witnessed its health care system shift from a predominately pay-for-service model to one with various reimbursement models that focus on long-term behavioral health improvements, promoting efficiency and reducing costs. It may seem like a tall order for physician payment methods to improve patient care, but the industry agrees […]
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 […]
Historically, the public has reacted to a cancer diagnosis with special alarm: “Despite significant improvements in treating many types of cancer, the diagnosis is often received on the part of a patient and his or her family with a sense of doom and panic,” Managed Healthcare Executive recently noted. Their health insurers, in turn, […]
Pharmacy benefit managers (PBMs) may not be the most visible players in health care today. But these organizations have an important position in helping control drug costs in the United States, and they continue to take on new roles. The traditional function of PBMs – which date back to the 1970s — is to […]
Healthcare has become a significant national issue over the last couple of years. More and more patients now have access to medical care that they did not use to have. The most important thing with the influx of new patients is to ensure the quality of healthcare does not diminish. At Advanced Medical Reviews, we […]
Healthcare is personal, and whether or not one receives quality healthcare can greatly impact their life. There are several different factors that make up quality healthcare and one of the important factors is the option for independent reviews. Having an Independent Review Organization (IRO), such as Advanced Medical Reviews, perform a medical review on your […]