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 ...

Writing effective utilization management goals typically ensures that all resources get expended effectively and efficiently. A committee usually forms to assess and evaluate past practices to set ...

The healthcare industry is riddled with opportunities to automate clinical processes. Part of this opportunity stems from the growing prevalence of EHRs over the past decade. As of 2017, 80 percent of ...

Case management, with its standards of practice of patient advocacy and resource stewardship and its role as a liaison between patients, payors and the healthcare team, is in a unique position to ...

FRANKLIN, Tenn., April 01, 2026 (GLOBE NEWSWIRE)-- Xsolis, an AI-driven technology company that reduces administrative waste by enabling collaboration between healthcare providers and payers, today ...

InterQual solutions provide health care providers and health plans nationwide with evidence-based, independently peer-reviewed criteria and workflow enhancements to streamline utilization management ...

The ratification of key international nuclear conventions is seen as critical to unlocking the Philippines’ long-term nuclear ...

California Governor Newsom signed Senate Bill 1120 into law, which is known as the Physicians Make Decisions Act. At a high level, the Act aims to safeguard patient access to treatments by mandating a ...

Impact of palliative care clinic (PCC) referrals on pain control in genitourinary (GU) cancer patients: Retrospective analysis at Roswell Park Cancer Institute (RPCI). This is an ASCO Meeting Abstract ...

Objective:To determine the effect of intensive patient-centered management (PCM) on service utilization and survival. Study Design: Prospective cohort study of 756 patients in California who had a ...