Show tertiary prevention Prevention activities which focus on the individual afterdisease or illness has manifested itself The goal is to reduce longterm effects and help individuals better cope with symptoms third-party payer Any organization public or private that pays or insures health or medical expenses on behalf of beneficiaries or recipients An individual payspremium for such coverage in all private and in some public programs the payer organization then pays bills on the individualbehalf Such payments are called third-party payments and are distinguished by the separation among the individual receiving the service the first party the individual or institution providing it the second party and the organization paying for it third party or type of service g hospital care physician visits prescription drugs Use is also expressed in rates per unit of population and forgiven period utilization review Evaluation of the necessity appropriateness and efficiency of the use of health care services procedures and facilities Inhospital this include review of the appropriateness of admissions service ordered and provided length ofstay and discharge practices both onconcurrent and retrospective basis Utilization review can be done bypeer review group or public agency vertical integration Organization of production whereby one business entity controls or owns all stages of the production and distribution of goods or services utilization Use commonly examined in terms of patters or rates of use ofsingle service Digital image 2005 Marriott Library University of Utah Al rights reserved |