The American Journal of Managed CareOpinion

Navigating Benefit Design and Utilization Management in ATTR-CM

This episode, titled ‘Navigating Benefit Design and Utilization Management in ATTR-CM,’ features the experts examining how ...
The American Journal of Managed Care

Utilization Management in Women’s Health

A medical professional explains the many facets of the prior authorizations process for drugs in women’s health. Ryan Haumschild, PharmD, MBA, MS: Prior authorizations are something that we’re used to ...
TMCnet

Innovaccer Launches Galaxy UM to Transform Utilization Management with AI-Powered Automation

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 ...
Business Wire

Sagility Introduces Utilization Management as a Service to Improve Prior Authorization, Mitigate Costs

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 ...
Business Wire

VirtualHealth Modernizes Utilization Management with New Software Release

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 ...
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 ...
Becker's Hospital Review

“Utilization Management” is all about saving health plans money. or is it?

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 ...
Fierce Healthcare

Study: Utilization management has ramped up in Part D over past decade

Utilization management in Medicare Part D has become more restrictive over the last decade, even when compared to Medicare Advantage prescription drug plans, according to a new study. The study, ...
Fierce Healthcare

Study: Drug utilization costs health industry $93B a year, with patients bearing most of the cost

Drug utilization management such as prior authorization and stricter formularies cost the healthcare industry $93 billion annually, with patients bearing the largest share of the cost, a new study ...
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) ...
Modern Healthcare

Drug utilization management drains $93 billion a year, study shows

Insurance companies often restrict University of Utah Health physicians from prescribing the optimal drug for a patient's illness. Providers are left to choose between the second or third choice after ...