Utilization Management is a money saving
review process that ensures all treatment is
medically necessary, appropriate and cost
effective. Crawford's utilization management
includes:
Utilization Review: Includes
pre-admission certification,
continued stay, discharge planning
and outpatient review. We achieve
significant savings by managing the
length of hospital stays and
identifying inappropriate treatment
and hospitalization. In 1996 we
produced an average ROI of $11.22 for
every $1 spent by our group health
clients.
Case Management Referral: We identify
cases that most benefit from
intervention and make referrals as
necessary.
Patient Advocate Line: Trained health
professionals provide medical
information on any aspect of medical
problems or proposed treatment
programs, making employees better
healthcare consumers.