SEATTLE, Oct. 17, 2018 /PRNewswire-PRWeb/ -- Qualis Health is proud to announce that it has earned URAC reaccreditation in both Case Management and Health Utilization Management. URAC is the ...

Compared with usual care, a dementia care management program improved various cost of care and utilization metrics in a Medicare managed care population at 12 months. Objectives: To examine a 12-month ...

Russell Rotondo, MD, FACC, medical director of clinical strategy and innovation for cardiology at Cohere Health, discusses the myriad positive ways utilization management programs can have an impact ...

Health care providers have employed utilization management to reduce the number of preventable hospital readmissions in the past. But today, plan sponsors — including businesses, unions, trust funds, ...

As healthcare costs continue to rise and margins remain under pressure, Houston-based Memorial Hermann Health System is leaning into value-based care and direct-to-employer strategies to slow spending ...

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 ...

NEW YORK--(BUSINESS WIRE)--Today, VirtualHealth announced the release of a completely redesigned Utilization Management (UM) module within its cloud-based care management solution HELIOS®. The newly ...

SAN DIEGO, Dec. 16, 2025 /PRNewswire/ -- American Specialty Health's (ASH's) ongoing commitment to industry best practices on utilization management (UM) has led to joining more than 60 full-service ...

Scott Howell ([email protected]) is the chief strategy officer, US Pharmaceuticals, at Novartis Pharmaceuticals Corporation, in East Hanover, New Jersey. Perry T. Yin is the director of Market Access ...

DALLAS, June 5, 2025 /PRNewswire/ -- MCG Health, part of the Hearst Health network and an industry leader in evidence-based guidance and technology, announces its participation in the 2025 CMSA Annual ...

If there's one area where emerging AI solutions can make a positive economic impact as well as improve the average person’s quality of life it’s in the health care industry, which in the year 2021 ...

Benefit plan sponsors know they can rely on their brokers for many insurance products and voluntary benefits. Brokers, however, also have an opportunity to be even more of a resource to their clients ...