A prior authorization program of a radiology benefits management company and how it has affected utilization of advanced diagnostic imaging.
J Am Coll Radiol
; 7(1): 33-8, 2010 Jan.
Article
em En
| MEDLINE
| ID: mdl-20129269
ABSTRACT
Radiology benefits management companies have evolved in recent years to meet the need to control the rapid growth in advanced diagnostic imaging. The Obama administration and other key policymakers have proposed using them as a cost-control mechanism, but little is known about how they operate or what results they have produced. The main tool they use is prior authorization. The authors describe the inner workings of the call center of one radiology benefits management company and how its prior authorization program seems to have slowed the growth in the utilization of MRI, CT, and PET in the large markets of one commercial payer.
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Serviço Hospitalar de Radiologia
/
Mecanismo de Reembolso
/
Tecnologia de Alto Custo
/
Diagnóstico por Imagem
/
Revisão da Utilização de Recursos de Saúde
Tipo de estudo:
Diagnostic_studies
Aspecto:
Implementation_research
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Am Coll Radiol
Assunto da revista:
RADIOLOGIA
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Estados Unidos