Utilization Management
This section describes Health Net's utilization management program and processes.
Select any subject below:
- Overview
- Care Management
- Clinical Criteria for Medical Management Decision Making
- Continuity of Care
- Economic Profiling
- Hospital Discharge Planning
- Medical Data Management System
- Non-Delegated Medical Management
- Notification of Hospital Admissions
- Out-of-Area Services
- Separation of Medical Decisions and Financial Concerns
- Utilization Management Goal
- Utilization Management Program Components