What Are The Limits Of The Effectiveness Of Behavioral Health Utilization Review?
OPEN MINDS The Behavioral Health & Social Service Industry Analyst
Pro & Con
Utilization review (UR) is touted as one answer to continuously rising costs of behavioral health care and for that matter, health care in general. It is postulated that utilization review programs reduce costs by preventing unnecessary or inappropriate treatment and by assuring that the most cost-effective treatment modalities are used. Efforts to reduce unnecessary and inappropriate medical treatment have long been targets of other types of policing mechanisms (such as tissue committees, peer review committees, and PSROs . . .