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 ...

TAMPA, FL, July 22, 2026 (GLOBE NEWSWIRE)-- For many health plans, managed care organizations, third-party administrators, and healthcare payers, utilization management review has evolved from a ...

TAMPA, FL, Aug. 03, 2026 (GLOBE NEWSWIRE) -- Selecting a utilization management review partner has become one of the most strategically important operational decisions facing healthcare payer ...

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 ...

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 ...

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, ...

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

TYSONS, Va.--(BUSINESS WIRE)--Maximus, a leading employer and provider of government services worldwide, today announced it has again earned URAC full accreditation for Health Utilization Management ...

We are already managing both projects and personnel in Excel. Is there any need to introduce a dedicated tool?”It is natural ...

Built on Iodine’s industry-leading CognitiveML engine, AwareUM emulates clinical thinking to improve productivity and meet medical necessity requirements AUSTIN, Texas, February 5, 2024 (Newswire.com) ...

"We're not only transforming utilization management with InterQual AutoReview, but impacting the entire clinical delivery process," said Jackie Mitus, M.D., general manager and senior vice president ...