Shearwater Health Once Again Earns URAC Accreditation in Workers’ Compensation and Health Utilization Management
Shearwater Health, a global leader in clinical solutions for the healthcare industry, today announced that it has earned full URAC accreditation for Workers’ Compensation Utilization Management and full URAC Health Utilization Management certification in Pre-Review Screening + Initial Clinical Review. URAC is the independent leader in promoting healthcare quality and patient safety by setting evidence-based […]
Addressing the Workers’ Comp Talent Shortage Challenge
Talent shortages remain a persistent problem across healthcare, and Workers’ Comp is no exception. The industry skews older, and the number of retiring baby boomers is growing. Additionally, the median age of nurses is 52 with 20% indicating they intend to retire within the next 5 years. As nurses age, retire or find employment outside […]
The Importance of Utilization Review in Workers’ Compensation
Ensuring that an injured worker receives the right care at the right time through the utilization review process is an important aspect of managing a workers’ compensation claim. Utilization review providers are tasked with the challenge of delivering quality care and a positive patient experience that promotes recovery and return to work, while also managing […]
Creating a Cost-Effective, Scalable Physician Prep Program
For a Large Managed Care Organization Providing Medical Review Services
Utilization Management Services Improve Case Handling Time and Reduce Management Cost
Fortune 500 National Health and Wellness Organization
Network Management Services Increased Panel Card Accuracy with Quicker Turnaround Time
Nations Leading Third Party Administrator
Creating a Cost-Effective, Scalable Physician Prep Program
Large Managed Care Organization Providing Medical Review Services
Utilization Review Solution Scales Clinical Teams and Reduces Medical Management Cost
Nations Leading Third Party Administrator
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 […]
3 Best Practices of a Successful Utilization Management Program
Effective utilization management programs are based on providing the right patient care at the right time. Outlined below are the 3 best practices employed by the most successful UM programs. 1. Clearly Define Processes, Responsibilities, And Policies A well-defined utilization review process – that clearly maps out each step in the process and the roles […]
