HealthLeaders Media

The Exec: How to Succeed in Utilization Management

Jill O'Brien, Morton Hospital's new CMO, says the essence of utilization management is providing the right care for the right patient in the right setting at the right time. The new CMO of Morton ...
ascopubs.org

Understanding Utilization Management Policy: How to Manage This Increasingly Complex Environment in Collaboration and With Better Data

Utilization management policy has many forms, but has become increasingly complex as cancer scientific discovery has blossomed, cancer subtypes have become more numerous, therapeutic opportunities ...
ascopubs.org

Impact of a nurse practitioner-staffed, symptom-management clinic on emergency department utilization in a large community oncology cancer institute.

Impact of palliative care clinic (PCC) referrals on pain control in genitourinary (GU) cancer patients: Retrospective analysis at Roswell Park Cancer Institute (RPCI). This is an ASCO Meeting Abstract ...
Morningstar

ProPeer Resources Earns Three-Year NCQA Utilization Management Accreditation, Reinforcing Commitment to Quality, Compliance, and Clinical Integrity

ProPeer Resources, a leading independent review organization specializing in utilization management and peer review services, today announced it has earned a three-year Utilization Management (UM) ...
Law

Anthem Blue Cross of Georgia Hit With Labor Class Action by Case Review Nurses

A proposed class action filed Tuesday in federal court in Atlanta accuses the Anthem Companies—the parent of Blue Cross Blue Shield health care plans in Georgia—of violating the Fair Labor Standards ...