Advances in biomarker-driven and individualized approaches in neurology and psychiatry will require new frameworks for value ...

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 ...

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 ...

On September 28, California Gov. Gavin Newsom signed Senate Bill 1120 Health Care Coverage: Utilization Review into law, amending § 1367.01 of the Health and Safety Code and § 10123.135 of the state’s ...

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 ...

For years, delegating utilization management (UM) functions to third-party vendors was seen as a practical response to rising medical costs, regulatory complexity, and distributed networks. Vendors ...

Utilization management practices, including prior authorization, significantly impact patient access to specialty drugs, with variations across health plans. Legislative actions, such as step therapy ...

Universal Health Services (NYSE:UHS) operates diversified healthcare facilities and appears in broader Russell 1000 ...

As value-based oncology expands, specialized social work is moving from “nice to have” to a measurable lever for adherence, utilization, and patient experience. When cancer treatment goes off track, ...