Utilization Management
Medicare Glossary
Techniques health insurance plans use to manage costs and ensure appropriate use of healthcare services. Common utilization management tools include prior authorization, step therapy, and quantity limits on prescription drugs.
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This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.