symplr Survey Reveals Healthcare Supply Chain Leaders Face a Dual Crisis as Disruptions Persist and Cost Pressures Intensify Supply chain leaders navigate disruptions, higher savings demands, and ...

Navitus, the nation’s first and largest transparent, pass-through pharmacy benefit manager (PBM), today announced the expanded implementation of Banjo Health. Banjo is an advanced automation platform ...

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

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 ...

Improving expected mortality through CDI physician advisor engagement: Lessons from a comprehensive cancer center. Utilization management and monthly total cost of generic abiraterone and imatinib by ...

The Centers for Medicare & Medicaid Services Sept. 30 issued a memo, through the Health Plan Management system, finalizing the Medicare Advantage Utilization Management Annual Data Submission ...

Utilization management has emerged as one of the most promising areas for AI deployment in healthcare. New research from EXL shows 46% of healthcare organizations already use AI in medical cost ...

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 ...

Our Health Care Group discusses what businesses need to know about a new law in Maryland that creates new requirements for health plans’ use of artificial intelligence in making coverage and treatment ...