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 ...
Writing effective utilization management goals typically ensures that all resources get expended effectively and efficiently. A committee usually forms to assess and evaluate past practices to set ...
WASHINGTON, DC, UNITED STATES, July 8, 2025 / EINPresswire.com / -- New research by the National Pharmaceutical Council (NPC) and the Center for the Evaluation of Value and Risk in Health (CEVR) at ...
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 ...
BATON ROUGE, La.--(BUSINESS WIRE)--US Family Health Plan (USFHP) has enlisted eQHealth Solutions to provide both eQSuite® Population Health Management technology to support their case management ...
Case management, with its standards of practice of patient advocacy and resource stewardship and its role as a liaison between patients, payors and the healthcare team, is in a unique position to ...
This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Dr. Catherine Brisland, Senior Medical Director, Utilization Management, UPMC Health Plan. Here, she ...
This survey assesses physician experiences with utilization management and burnout and investigates whether there is a link between them. Objective: This study was designed to assess physician ...
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