On Friday, the healthcare behemoth released results of three highly anticipated external reviews that drilled down on a ...

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 ...

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 ...

As the editors of “FRONTIERS IN PUBLIC HEALTH,” Research Topic—Hospital management and healthcare policy: financing, resourcing and accessibility, volume 2, we are pleased to introduce this Research ...

The administrative burden of utilization review processes like prior authorizations and concurrent review has long been a thorn in the side of healthcare providers. While prior authorizations have ...

Q: Do you have any suggestions on how to make the Utilization Review and Triple Check processes more efficient? A: Implementing a robust Utilization Review and Triple Check process serves several ...

General chemistry is the foundation upon which all other subsets of chemistry and numerous scientific disciplines are built. Therefore, it is important that students come into college well equipped ...

A recent study published in Engineering offers a comprehensive review of the synergistic impact of Carbon Capture, Utilization, and Storage (CCUS) coupled with Enhanced Oil Recovery (EOR) technologies ...

In 2024, the cost and utilization of specialty dermatology drugs significantly drove a 7% increase in pharmaceutical costs, according to a June 10 report from Navitus Health Solutions, a pharmacy ...

The healthcare industry is at a critical juncture, grappling with inefficient Utilization Management (UM) systems that have long been a source of frustration for patients, providers, and payers alike.