In this episode of #CareTalk, David Williams (Health Business Group) and John Driscoll (CareCentrix) review how both the DNC and RNC handled the topic of healthcare.
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Under the CareCentrix Utilization Management (UM) Program: 1) UM decision making is based on appropriateness of care & service and existence of coverage; 2) CareCentrix does not specifically reward practitioners or other individuals for issuing denials of coverage or service care; and 3) Financial incentives for UM decision makers do not encourage decisions that result in under-utilization.