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 ...

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 ...

Value-based care requires collaboration between payers and providers to ensure the patient receives the most appropriate care in the most appropriate setting. However, the current utilization ...

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 ...

GREENSBORO, N.C., March 20, 2018 /PRNewswire/ -- No one wants to switch utilization management systems. That was especially true for Greensboro-based Triad HealthCare Network (THN). The accountable ...

Utilization management policy has many forms, but has become increasingly complex as cancer scientific discovery has blossomed, cancer subtypes have become more numerous, therapeutic opportunities ...

Forbes contributors publish independent expert analyses and insights. I write about business model strategy and execution across healthcare. Feb 24, 2025, 04:52pm EST Photo of a stethoscope on an ...

Higher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients ...

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 ...

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 ...

ATLANTA--(BUSINESS WIRE)--QGenda, the leading innovator in enterprise healthcare workforce management solutions, today announced the results of a 2020 study, conducted by Porter Research. The research ...