Provision of enhanced access to behavioral health services by a large employer to its employees is associated with reductions in all-cause care utilization and cost. Objectives: To examine the impact ...

Advances in biomarker-driven and individualized approaches in neurology and psychiatry will require new frameworks for value ...

For years, utilization management (UM) was quietly delegated away for scale, speed, and supposed efficiency. But today, health plans are hitting the breaking point. Prior authorizations, a core ...

NEW YORK--(BUSINESS WIRE)--Today, VirtualHealth announced the release of a completely redesigned Utilization Management (UM) module within its cloud-based care management solution HELIOS®. The newly ...

FRISCO, Texas--(BUSINESS WIRE)--Human Affairs International of California (HAI-CA), a subsidiary of Magellan Healthcare, today announced that it has earned full URAC accreditation for Health ...

MCLEAN, Va., April 26, 2023 /PRNewswire/ -- The Virginia Department of Medical Assistance Services (DMAS) has awarded Keystone Peer Review Organization, LLC (Kepro), a subsidiary of CNSI, a $113 ...

As value-based oncology expands, specialized social work is moving from “nice to have” to a measurable lever for adherence, utilization, and patient experience. When cancer treatment goes off track, ...