What are the potential financial implications to both the patient and the provider for choosing to comply or not to comply with these requirements?

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HA3120D – Essentials of Managed Care SU20 B – Section D01

Discussion 03.1: Utilization Review and Access

As utilization review techniques are implemented by MCOs, how has this had an impact on patients being able to access the care they need?  What are the positives and negatives of limiting access to some providers?  What are the potential financial implications to both the patient and the provider for choosing to comply or not to comply with these requirements?

Please cite references in your post which should be 150-200 words.