Utilization Review

Definition

Health Economics

  • Monitoring programmes in the US that seek to determine the appropriateness of the care delivered and its cost. Reviews, which may be retrospective, current or prospective, usually evaluate the need, appropriateness and efficiency of health care services, procedures and facilities, including review of the appropriateness of admissions, services ordered and provided, length of stay, and discharge practices. Utilization reviews in the US are performed both by peer review groups and public agencies.
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