1 strative aspects of care (e.g., gatekeeping, utilization review).

2 e legislative mandate for retrospective drug utilization review.

3                                              Utilization review and structural arrangements in manage

4 ve benefits while restricting access through utilization review, has infuriated everyone involved.

5 xceptions coincident with retrospective drug utilization review implementation (rate increase, 0.064

6 examined as a function of retrospective drug utilization review implementation.

7                           Retrospective drug utilization review is required of all state Medicaid pro

8 e also found no effect of retrospective drug utilization review on the incidence of all-cause hospita

9  to identify an effect of retrospective drug utilization review on the rate of exceptions or on clini

10                                  Health plan utilization review rules are intended to enforce insuran

11 ehavior of physicians through capitation and utilization review, the major health plans now seek to i

12                                              Utilization review (UR) seeks to improve quality and cos