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, ...

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 ...

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 ...

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 ...

Health systems and health insurance plans spend enormous sums of money battling over how to be paid fairly — and these battles have only intensified with the growth of Medicare Advantage plans, which ...

MADISON, Wis.--(BUSINESS WIRE)--Navitus Health Solutions, a full pass-through pharmacy benefit manager (PBM), announced today its accreditation by the National Committee for Quality Assurance (NCQA) ...

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 ...