Unit 3: Utilization Management (UM)
Readings:
Burton, J., Eggleston, B., Brenner, J., Truchil, A., Zulkiewicz, B. A., & Lewis, M. A. (2017). Community-Based Health Education Programs Designed to Improve Clinical Measures Are Unlikely to Reduce Short-Term Costs or Utilization Without Additional Features Targeting These Outcomes. Population Health Management, 20(2), 93–98. https://doi.org/10.1089/pop.2015.0185
Clark, R. E., Weinreb, L., Flahive, J. M., & Seifert, R. W. (2018). Health Care Utilization and Expenditures of Homeless Family Members Before and After Emergency Housing. American Journal of Public Health, 108(6), 808–814. https://doi.org/10.2105/AJPH.2018.304370
Maeng, D. D., Snyder, S. R., Davis, T. W., & Tomcavage, J. F. (2017). Impact of a Complex Care Management Model on Cost and Utilization Among Adolescents and Young Adults with Special Care and Health Needs. Population Health Management, 20(6), 435–441. https://doi.org/10.1089/pop.2016.0167
Video from the American Academy of Case Management, Case Management Nursing and Utilization Review Practice.
