R1 (“R1” or the “Company”), the leader in healthcare revenue management, today announced Phare Utilization Management (“Phare UM”), a new AI-powered solution designed to help health systems move ...

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 ...

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 ...

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 ...

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 ...

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, ...

Dublin, Aug. 19, 2024 (GLOBE NEWSWIRE) -- The "U.S. Drug Utilization Management Market Size, Share & Trends Analysis Report by Program Type (In-House, Outsourced), End-use (PBMs, Health Plan Providers ...

"We're not only transforming utilization management with InterQual AutoReview, but impacting the entire clinical delivery process," said Jackie Mitus, M.D., general manager and senior vice president ...

Utilization management criteria influence patients’ access to specialty drugs, yet the processes used by health plans to establish these criteria are not well understood. This study examined the ...

– Latitude Health, a San Francisco, CA-based company is emerging out of stealth with the launch of its AI-driven utilization management designed to eliminate inefficiencies, reduce costs, and improve ...

While utilization management in general is a pain point for everyone, it’s a necessary evil in the United States, where we spend 18% of our gross domestic product on healthcare, explained Debra Patt, ...