TAMPA, FL, July 22, 2026 (GLOBE NEWSWIRE)-- For many health plans, managed care organizations, third-party administrators, and healthcare payers, utilization management review has evolved from a ...

Otter Health has launched with $8 million in seed funding to build an AI-powered healthcare platform designed to help payers ...

Assessing differences in utilization management between managing an IV product in terms of medical benefit vs. self-administered oral product in terms of pharmacy benefit. Transcript: Neil B. Minkoff, ...

Otter Health, a healthcare technology company building a model for smarter utilization management and quality that dismantles ...

Utilization management involves methods by health care plan administrators to minimize costs while also maintaining the quality of care. The process is intended to prevent wasteful spending but not to ...

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

Utilization management began as a way for health care organizations and professionals to evaluate the effectiveness and efficiency of the services they provide to patients. The approach has grown and ...

TYSONS, Va.--(BUSINESS WIRE)--Maximus, a leading employer and provider of government services worldwide, today announced it has again earned URAC full accreditation for Health Utilization Management ...

How can health systems deliver the right care, at the right cost, in the right setting, without overwhelming delivery and reimbursement systems with administrative burden? The shift from volume to ...

TAMPA, Fla., June 1, 2025 (Newswire.com) - Amid escalating regulatory requirements, increasing cost pressures, and rising consumer expectations, Black Book Research today announced the top-rated ...

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 ...

Value-based care requires collaboration between payers and providers to ensure the patient receives the most appropriate care in the most appropriate setting. However, the current utilization ...