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Correspondence
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Volume 334:737-738 March 14, 1996 Number 11
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Effect of Utilization Review

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 by Rosenberg, S. N.
To the Editor: In their study of the effect of utilization review in a fee-for-service health insurance plan (Nov. 16 issue),1 Rosenberg et al. found a reduction in the number of diagnostic and surgical procedures performed that required second opinions, but there was no savings in insurance payments. These results were not compared with those achieved in other settings characterized by extraordinary savings in services and money, such as advanced managed-care markets in which utilization review is an important factor.2

In California, the Unified Medical Group Association and various health plans have reported the number of inpatient days for commercial . . . [Full Text of this Article]

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