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Utilization management in the COVID-19 era

from PPS Impact

Utilization management in the COVID-19 era PPS Impact Picture this: In May, a patient in New York develops COVID-19. Luckily, their body’s response of a hacking cough, spiking fevers, and wracking pain recede after a three-week hospital stay. Their stay in the hospital results in a slight loss of function, and they are told by their care team that physical therapy can help them make a full recovery. While still in the hospital, the patient is assigned to a physical therapist who develops a care plan after an initial visit. The insurer states that the patient must seek prior authorization for future visits. READ MORE

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