Develop a policy and procedure for managing ancillary utilization in a managed care plan

Option #1: Managing Ancillary Utilization

Kongstvedt (2013) notes that the management of utilization is one of the most important aspects of controlling overall healthcare costs. Methods used vary from weak and mechanical to tightly managed.

Develop a policy and procedure for managing ancillary utilization in a managed care plan. Be specific regarding the type of ancillary service and explain how this policy and procedure will:

  • Maximize resources
  • Contain costs
  • Ensure that appropriate care is provide

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