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Utilization Management (UM)

Date of Publication:

4/9/2013

Definition:

A methodology that addresses the issue of managing the use of resources while also measuring the quality of the care delivered. UM is an organization-wide, interdisciplinary approach to balancing cost, quality, and risk concerns in the provision of patient care. UM is an expansion of traditional UR activities to encompass the management of all available healthcare resources, including referral management.

Source of Definition:

Medical Management (MM) Programs in the Direct Care System (DCS) and Remote Areas

Related Glossary Terms:

Utilization Manager

Last Updated: December 05, 2018
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