Od-041827 MedStar Family Choice: Over- and Under-Utilization
Enroll
| Main Task |
| Title |
|---|
|
Introduction to Utilization Management. show details
This lesson will provide an overview of Utilization Management, including the role this team plays for MedStar Family Choice and key Utilization Management components and terms. It will also provide a review of the Utilization Management regulatory requirements and expected standards, including turnaround times for Maryland and DC.
|
|
Utilization Management Resources for Members and Providers. show details
This lesson will provide an overview of benefits and resources available to members and network providers as it relates to Utilization Management. It will also review second opinions, specialist referrals, and fair hearings.
|
|
Over- and Under-Utilization. show details
This lesson will provide an overview of utilization rates and how MedStar Family Choice monitors utilization to inform strategic efforts and to prioritize member outcomes. Learners will review over-utilization, under-utilization, and metrics and teams involved in monitoring utilization rates for the health plan.
|