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 ...

Assessing differences in utilization management between managing an IV product in terms of medical benefit vs. self-administered oral product in terms of pharmacy benefit. Transcript: Neil B. Minkoff, ...

How can health systems deliver the right care, at the right cost, in the right setting, without overwhelming delivery and reimbursement systems with administrative burden? The shift from volume to ...

Panelists discuss how utilization management limits clinical autonomy and advocate for reforms that preserve shared, patient-centered decision-making. Panelists discuss how increasing utilization ...

Utilization management began as a way for health care organizations and professionals to evaluate the effectiveness and efficiency of the services they provide to patients. The approach has grown and ...

SAN FRANCISCO, March 23, 2026--(BUSINESS WIRE)--Innovaccer, a leading healthcare AI company, today announced the launch of Innovaccer Galaxy UM, an AI-powered utilization management platform designed ...

Dublin, Aug. 19, 2024 (GLOBE NEWSWIRE) -- The "U.S. Drug Utilization Management Market Size, Share & Trends Analysis Report by Program Type (In-House, Outsourced), End-use (PBMs, Health Plan Providers ...

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 ...

For years, utilization management (UM) was quietly delegated away for scale, speed, and supposed efficiency. But today, health plans are hitting the breaking point. Prior authorizations, a core ...

This voice experience is generated by AI. Learn more. This voice experience is generated by AI. Learn more. Amber Nigam is CEO and cofounder of basys.ai, a Harvard-based company streamlining prior ...

Healthcare automation company Olive is selling its AI-enabled utilization management tool for payers to health information network Availity. The deal marks another product divestiture for Olive. Axios ...