Utilization management involves methods by health care plan administrators to minimize costs while also maintaining the quality of care. The process is intended to prevent wasteful spending but not to ...

Jill O'Brien, Morton Hospital's new CMO, says the essence of utilization management is providing the right care for the right ...

New research findings from EXL shows how healthcare leaders can leverage AI to transform utilization management.

We appreciate the thoughtful response of Susan Cantrell and the Academy of Managed Care Pharmacy to our work (August 2021). Our study highlights the burden of drug utilization management on the ...

Utilization management (UM) is a painstakingly manual process that adds administrative burden, increases healthcare waste and complicates payer-provider dynamics — yet does not necessarily improve ...

Considering the recent article by Scott Howell and colleagues (August 2021), I want to clarify how drug utilization management tools are used to help millions of patients access the medications they ...

Findings of a survey of large employers indicate that utilization management tools are ineffective in controlling health care costs for employees and may lead to barriers to treatment. Employer ...

BREA, Calif.--(BUSINESS WIRE)--NCH Management Systems, Inc., D/B/A New Century Health (NCH), a national leader in specialty care management, today announced it has been accredited in Utilization ...

GenHealth.ai and Guidehealth achieved up to a 60% reduction in Utilization Management workload using GenHealth's AI-native platform, leading to $1.2M in annual savings. The system automates clinical d ...

Molina Healthcare's third quarter was marked by strong revenue growth but a significant shortfall in profitability, leading ...

BATON ROUGE, La.--(BUSINESS WIRE)--eQHealth Solutions is proud to announce that it has earned URAC accreditation in Utilization Management for its Louisiana site. URAC is the independent leader in ...