JCNRJournal of Clinical and Nursing Research2208-36852208-3693Bio-Byword Scientific Publishing Pty. Ltd.10.26689/jcnr.v8i9.7664ArticleUtilization Management: Walking the Line Between Patient Needs and Healthcare Economics – Short Communicationhttps://artdesignp.com/journal/JCNR/8/9/10.26689/jcnr.v8i9.7664ShanmugamKirubanandan2024892024-09-27Utilization management plays a crucial role in healthcare by optimizing resource allocation, improving patient outcomes, and effectively controlling costs. By balancing patient needs with economic considerations, healthcare institutions can ensure efficient and sustainable service delivery. Utilization management encompasses various strategies, including prior authorization, concurrent review, and clinical pathways, to enhance care quality, manage expenses, and streamline resource use. The benefits of utilization management include cost containment, improved care standards, and the implementation of consistent treatment guidelines, thereby increasing the overall efficiency and effectiveness of healthcare delivery.

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