The definition of UM has changed. Some of the results remain stubbornly the same (and unclear). While utilization management clearly has a role in healthcare, the jury is still out on its ability to ...

In this episode of the Becker’s Healthcare Podcast, Lukas Voss is joined by Chad Kersting, Business Development Director, and Dr. Eric Gratias, National Physician Executive of Medical Benefit Services ...

For years, delegating utilization management (UM) functions to third-party vendors was seen as a practical response to rising medical costs, regulatory complexity, and distributed networks. Vendors ...

A score was developed to measure patient risk from payer utilization management policies and its relationship to real-world US commercial payer utilization management policies. Objectives: To (1) ...