Following a brief discussion on utilization management, experts discuss the current paradigm of patient access to therapy.

However, the current utilization management process — preauthorization — is time-consuming, costly and frustrating for all involved, says Matthew Zubiller, vice president at McKesson Health ...

Examples of Utilization Management Activities. Utilization management involves methods by health care plan administrators to minimize costs while also maintaining the quality of care. The process ...

Utilization management has the power to perform many jobs. Will it? Well before the Affordable Care Act, CMS defined the highest aim of utilization management: Value. In its 1991 UM study, the ...

With InterQual Connect, payers and providers can create a more efficient utilization management process within existing workflows, decreasing their administrative burden.

Empowered utilization managers, effectively framed data, and a continuous process evaluation together form the first line of defense against revenue loss.

Health Utilization Management (HUM) assures the clinical and operational soundness of our health utilization management process by evaluating it against a stringent set of nationally recognized ...

The client was also able to detect false medical claims, determine prospective areas of investment, and improve their utilization management (UM) process. Big data analytics benefits for the client: ...

Brian MacDonald, PharmD, senior director of specialty clinical strategy and innovation at Magellan Rx Management, explains how enhanced utilization management programs are implemented and can lead ...

Medical management programs, which integrate utilization management and case management, can provide an integrated approach to managing an employee's total health. HealthLink's Amy Cleveland discusses ...

Utilization Review In this process, managers take a proactive approach to the management of their customers and of the products and services they sell.