Findings of a survey of large employers indicate that utilization management tools are ineffective in controlling health care costs for employees and may lead to barriers to treatment. Employer ...

8 Managed Care Contract Questions Regarding Utilization and Management Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask ...

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 ...

According to the Centers for Disease Control and Prevention (CDC), there are approximately 139 million emergency department (ED) visits every year in the United States. Some studies show that up to 37 ...

This year's CMS data underscores the need for CFOs to pivot toward utilization management, care delivery redesign, and ...

Insurtech companies such as Oscar Health use technology to engage patients and offer risk-based, value-based care to engage providers in what is touted as a collaboration of savings, efficiency and ...

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 ...

Imagine an altogether different kind of utilization management that both payers and providers appreciate, where approvals are made at the point of decision, not after the fact. Utilization management ...

BREA, Calif.--(BUSINESS WIRE)--NCH Management Systems, Inc., D/B/A New Century Health (NCH), a national leader in specialty care management, today announced it has been accredited in Utilization ...

MCLEAN, Va., Sept. 07, 2023 (GLOBE NEWSWIRE) -- Florida’s Agency for Health Care Administration (AHCA) awarded Acentra Health (formerly Kepro) a new five-year contract extending the company’s 12 years ...