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 ...

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

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 ...

Members who are unsure about these decisions can take a more active role in their health by talking to their doctor or contacting the utilization management team to learn more about the review process ...

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

A medical professional explains the many facets of the prior authorizations process for drugs in women’s health.

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: ...

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 ...

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 ...