Utilization review planning is included in the Conditions of Participation primarily to:

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Utilization review planning is incorporated in the Conditions of Participation to ensure the efficient use of resources. This process involves evaluating the necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities. By closely examining patient care and resource allocation, healthcare organizations can reduce waste, streamline services, and enhance overall quality of care.

Efficient resource use can lead to improved patient outcomes and more effective healthcare delivery without unnecessary expenditures. It allows healthcare providers to focus on delivering the most appropriate care to their patients while also being mindful of costs and resource availability.

In this context, the other options do not align with the primary intent of utilization review. Reducing patient communication is counterproductive to patient engagement and shared decision-making, limiting healthcare access is contrary to the goals of improving care, and encouraging higher patient volumes does not reflect the core purpose of reviewing utilization; rather, the focus is on quality and efficiency of care.

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