Memo Warns Companies to Make Clear That UR Isn't Always Binding

Utilization reviews in Connecticut are required only in managed care plans, and anyone who says otherwise is subject to fines and penalties. That was the gist of a sternly worded memo posted this week by Stephen M. Morelli, the chairman of Connecticut's Workers' Compensation Commission, after hearing complaints that some third-party administrators haven't made it clear to doctors that utilization review is not always binding. “It has been brought to my attention that utilization review is being used more and more frequently outside of medical care plans,” re...