Utilization Review

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Abstract
In an effort to reduce their health care burden, health care payors have turned to utilization controls and restructured health care payment systems to con trol health care costs. While health care payors are interested in economic restraints, health care pro viders are being placed at increasing levels of finan cial risk, and they struggle to maintain high quality services. Quality of care must remain our number one priority, but it is essential to achieve this goal in a cost-efficient manner. Cost-efficiencies are gained through the development of a comprehensive physi cian education program that encourages information exchange, physician input, and the implementation of positive alternatives that lead to efficiencies in re source management.

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