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 ...
Employer-sponsored insurance continues to cover the majority of Americans, but employers are facing mounting cost pressures ...
The U.S. spent 7.2% more on healthcare in 2024. Most of the acceleration was because of greater use and intensity of medical ...
Under30CEO on MSN
One size doesn’t fit all: Why oncology-specialized social work outperforms traditional case management
As value-based oncology expands, specialized social work is moving from “nice to have” to a measurable lever for adherence, ...
On September 28, California Gov. Gavin Newsom signed Senate Bill 1120 Health Care Coverage: Utilization Review into law, amending § 1367.01 of the Health and Safety Code and § 10123.135 of the state’s ...
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 ...
GenHealth.ai and Guidehealth achieved up to a 60% reduction in Utilization Management workload using GenHealth’s AI-native platform, leading to $1.2M in annual savings. The system automates clinical ...
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