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?