Do you think utilization management is beneficial for pharmacies and payers (e.g. customer, insurance, Medicare/Medicaid)? Do...

Do you think utilization management is beneficial for pharmacies and payers (e.g. customer, insurance, Medicare/Medicaid)? Do you think utilization management will affect Pay-for-performance (P4P)? Why?

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Expert Solution

Utilization management is very helpful in management of activities with proper utilization of the resources available. This helps in proper planning of activities and this also ensures the funds are utilised in proper way. Hence it is very beneficial to pharmacies and payers as they deal with health where proper utilisation of available facilities is very important. In pay for performance utilisation management helps in ensuring that payments are done for work done and no extra funds are paid and it also ensures the workers that they are paid in a fair manner. Hence it will have a positive impact on pay for performance.

keosha answered 2 years ago

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