The Key to Effective Utilization Management Better Patient Care Reduced Cost

Utilization management is commonly assumed to be a strategy payers implement to reduce healthcare cost. Although successful UM programs do result in reduced cost of claims, the focus of an effective utilization management program is improved quality of care. When utilization management programs focus on denials – prioritizing cost savings over patient care – they […]

Clinical Process Outsourcing: The Future of Healthcare

The U.S. is expected to need 1.2 million additional registered nurses by 2030 and the healthcare industry anticipates a struggle to fill those roles. Some of those struggles are compounded by a nursing educator shortage, the stress of the job due to an aging population and the pandemic, as well as nurses’ preference to work […]