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Consumer-Directed Health Plans

Plans that aim to increase consumer awareness and knowledge of healthcare costs with plan benefit design that encourages shopping around. These plans generally have a high deductible and include a health savings account (HSA) or health reimbursement account (HRA).

Utilization Review (UR)

Refers to the evaluation of the efficiency and need of health care services, including procedures and facilities, according to established criteria of the provisions of…