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For Better Health
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also in this issue


Home


Play It Smart with OTC Medicines


Help with Quitting Smoking


Ice is Nice!


Confused About Coverage


Your Ethnic Background Is Important


Decisions, Decisions


Add Fun to Your Workout


Paramount Member Satisfaction Survey Results


Protect Your Child from Lead Poisoning


Lead Testing for Your Child—It's Ohio Law


Is Your Teen Depressed?


Preferred Drug List Changes for 2008


Maintenance Drug List Changes for 2008


How to Split Your Pills—and Copayments—in Half


Get the Right Drug for That Infection


Quality Results HEDIS 2007 Highlights


Update on Hospital Quality


Bands of Safety


Safeguard in Utilization


Mental Health Coverage Updates


Paramount's Online Wellness Center


Past Issues



Logo of ProMedica Health System; www.promedica.org

 Fall/Winter 2007

Safeguard in Utilization

Paramount's utilization management decisions are based only on appropriateness of care and service and the existence of coverage. Utilization management staff and associate medical/clinical directors are not financially or otherwise paid to encourage underutilization and/or denials of coverage or care.

In fact, Paramount monitors and analyzes monthly reports for patterns of underutilization and takes action to address any identified problems. In addition, nursing staff cannot deny services—denials can be made only by board certified, locally participating physicians.