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Chances are that you may never had heard of Utilization Management unless you’re in the industry, but you have probably heard of or experienced “prior authorization” and maybe even “Fail First.” Guest Elizabeth Franklin helps us understand what Utilization Management is, what are some of its common practices and techniques, and how it’s been impacted by the COVID-19 pandemic. We also look at the upcoming open enrollment period and the items that patients should look for when searching for a plan that is best for them.
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