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What is Centralized Utilization Review?

Moving the UR function from a unit-based model to a centralized model is a growing trend. The days of the ‘triad model’ are beginning to diminish where care management staff perform UR, case management, and discharge planning. Learn more about the model that allows best practices and economies of scale to flourish.

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“Centralizing has allowed the UM team to speak with one voice to payers, physicians, patients and administration.”

Rena Arden, Corporate Supervisor of Utilization Management, Covenant Health

Your How-to Reference Guide on Centralized UR

  1. Defining Utilization Review
  2. Why Centralization is Critical
  3. Challenges that Required Change and the Right Solution
  4. Turning Ideas into Action