Questions & Answers
What are the Milliman Care Guidelines® and who uses them?What is the authority of the Care Guidelines®? How are they derived?
What is the purpose of the Care Guidelines®?
What is the spectrum of healthcare services covered by the Care Guidelines®?
How can the Care Guidelines® improve the quality and efficiency of healthcare?
What are the advantages of using the Care Guidelines® rather than traditional symptom-based criteria?
How has the methodology evolved from the first edition in 1990 to the current edition? How rigorous is the Care Guidelines® methodology?
What is the administrative burden for providers using the Care Guidelines®? Specifically, how do they work in the community?
Will the use of guidelines result in "cookbook medicine" and impede the judgment of the attending physician?
What are some of the ways the Care Guidelines® can be used to reduce waste and improve a patient’s health status?
How are the Care Guidelines® used in the medical management process?
Don’t the "Goal Length of Stay" guidelines dictate how long patients may stay in a hospital?
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