Carneal continues, "Over time, utilization management programs have consistently been used as a way to promote evidence-based treatments, reduce unnecessary medical treatments, and improve patient ...

Innovaccer, a leading healthcare AI company, today announced the launch of Innovaccer Galaxy UM, an AI-powered utilization management platform designed to help health plans automate prior ...

Yet there is positive momentum building against these trends as healthcare organizations look to reinvigorate many value-based care avenues like utilization management. Defined as the group of ...

The healthcare industry is riddled with opportunities to automate clinical processes. Part of this opportunity stems from the growing prevalence of EHRs over the past decade. As of 2017, 80 percent of ...

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 ...

California Governor Newsom signed Senate Bill 1120 into law, which is known as the Physicians Make Decisions Act. At a high level, the Act aims to safeguard patient access to treatments by mandating a ...

Key opinion leaders share their perspectives on utilization management strategies in treatment of women’s health. Neil Minkoff, MD: We talked a little about managing oral contraceptives. Maria, you ...

After implementing Xsolis’ AI-powered Dragonfly™ platform, AnMed achieved a 14.6X return on investment from June 2024 to June 2025 while strengthening collaboration with health plan partners and ...

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 ...

The historical definition of medical management has been co-opted over the last decade or so. What once referred to insurers and medical professionals collaborating to determine services that drive ...

SAN DIEGO--(BUSINESS WIRE)--Mitchell International, Inc., a leading provider of technology, connectivity, and information solutions to the Property & Casualty (P&C) claims and Collision Repair ...