For many health plans, managed care organizations, third-party administrators, and healthcare payers, utilization management review has evolved from a transactional administrative function into a ...
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 ...
Did you now that Lean Management has over a 90% failure rate? Likewise, 45% of features in Job Shop Management Software goes totally unused. In fact, another 19% of a software’s features are rarely ...
NASHVILLE, Tenn.--(BUSINESS WIRE)--Today, Change Healthcare (NASDAQ: CHNG) introduced The ASAM Criteria Powered by InterQual, a SaaS solution developed through an exclusive partnership with the ...
Use of algorithms and artificial intelligence (AI) in prior authorization and utilization management is facing growing criticism and litigation. Notable lawsuits include alleged automatic ...
The continuing launch of innovative but high-price drugs has intensified efforts by payers to manage use and spending and by pharmaceutical manufacturers to support patient access and sales. Payers ...
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