In a recent blog post, Medecision discusses utilization management and its shifting definition. The term “Utilization Management” was first heard in healthcare roughly three decades ago. The Institute ...

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 ...

8 Managed Care Contract Questions Regarding Utilization and Management Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask ...

Oncology utilization management often frustrates patients and payers, but collaboration and artificial intelligence can streamline processes and improve care quality, according to Vishnukamal Golla, ...

DENVER--(BUSINESS WIRE)--Sagility, LLC, a technology-enabled healthcare business process management (BPM) company, has announced the launch of its Utilization Management as a Service (UMaaS) offering ...

For clinical leaders, accurate data and strong relationships with staff members are foundational for utilization management, this new CMO says. The new CMO of AdventHealth New Smyrna Beach says having ...

Brian MacDonald, PharmD, senior director of specialty clinical strategy and innovation at Magellan Rx Management, explains how enhanced utilization management programs are implemented and can lead to ...

NEW YORK--(BUSINESS WIRE)--Today, VirtualHealth announced the release of a completely redesigned Utilization Management (UM) module within its cloud-based care management solution HELIOS®. The newly ...

Thought leaders from MCG Health will present on the topic of assistive AI technology and its transformative impact on utilization management (UM) processes. Additionally, Sharp HealthCare, a valued ...

COA survey of independent community oncology practices shows insurer requirements delay treatment, override clinical judgment, and increase administrative costs ...