Utilization Management Utilization management focused on inpatient activity. Utilization management focused on inpatient and outpatient activity. Utilization management incorporates clinical pathways and outcomes measurement. Product Offerings Utilization management focused on inpatient activity. Utilization management focused on inpatient activity.
Utilization management incorporates clinical pathways and outcomes measurement.
Critical mass developed through aggressive pricing, product diversification, advertising, acquisition of weaker plans. Economies of scale. Significant emphasis on reducing cost structure, reengineering. 1 Fragmentation State 2 Consolidation Stage 3 Reformed System Organization Single and multi-speciality groups. Investment in infrastructure to support managed care contracting.