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Previous Volume 333:1353-1354 November 16, 1995 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Utilization review has become a ubiquitous component of efforts to limit the costs of medical care in the United States. This monitoring process encompasses a broad, heterogeneous group of interventions, most commonly involving the prospective review of decisions to admit patients to the hospital and perform certain procedures, but also including concurrent evaluation of inpatient care and of the management of high-cost cases. Utilization review is often performed by a third party, which may be a company operating for profit, but it can also be done internally by insurers or health plans. In 1984, this process affected the health insurance . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Kleinman, L. C., Boyd, E. A., Heritage, J. C. (1997). Adherence to Prescribed Explicit Criteria During Utilization Review: An Analysis of Communications Between Attending and Reviewing Physicians. JAMA 278: 497-501 [Abstract]  
• Bree, R. L., Kazerooni, E. A., Katz, S. J. (1996). Effect of Mandatory Radiology Consultation on Inpatient Imaging Use: A Randomized Controlled Trial. JAMA 276: 1595-1598 [Abstract]