Integrations with leading clinical AI solutions give health plans access to best-in-class decision-making capabilities to transform utilization management BOSTON, Feb. 25, 2026 (GLOBE NEWSWIRE) -- ...
How AI paired with clinical evidence can beat your utilization management expectations — 4 takeaways
New technologies that use predictive analytics in conjunction with evidence-based criteria are transforming utilization management and improving clinical and financial outcomes. Incorporating ...
The definition of UM has changed. Some of the results remain stubbornly the same (and unclear). While utilization management clearly has a role in healthcare, the jury is still out on its ability to ...
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 ...
"UM absolutely has its place," says Dr. Cathy Moffitt, Senior Vice President and Aetna Chief Medical Officer at CVS Health. Now, Part 3 explores how UM can be a vital part of the path to value-based ...
Panelists at an Academy of Managed Care Pharmacy (AMCP) Nexus 2022 session discussed enhanced utilization management strategies to manage the rising cost of specialty drugs, while providing members ...
SAN DIEGO, Dec. 16, 2025 /PRNewswire/ -- American Specialty Health's (ASH's) ongoing commitment to industry best practices on utilization management (UM) has led to joining more than 60 full-service ...
GenHealth's AI-native UM platform integrates seamlessly with existing medical guidelines, administrative policies, and provider portals to automate data intake, escalation logic, and decision ...
Russell Rotondo, MD, FACC, medical director of clinical strategy and innovation for cardiology at Cohere Health, discusses the myriad positive ways utilization management programs can have an impact ...
NASHVILLE, Tenn., Feb. 19, 2026 /PRNewswire/ -- Shearwater Health, a leader in clinician-led clinical outsourcing solutions, announced today that it earned a three-year Utilization Management (UM) ...
In this episode of the Becker’s Healthcare Podcast, Lukas Voss is joined by Chad Kersting, Business Development Director, and Dr. Eric Gratias, National Physician Executive of Medical Benefit Services ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results