Smarter Technologies, the smarter revenue cycle platform, today announced a major platform advancement: SmarterUtilization™, ...

Health systems and health insurance plans spend enormous sums of money battling over how to be paid fairly — and these battles have only intensified with the growth of Medicare Advantage plans, which ...

Case management, with its standards of practice of patient advocacy and resource stewardship and its role as a liaison between patients, payors and the healthcare team, is in a unique position to ...

Building on its expertise in building artificial intelligence solutions for hospitals, Iodine Software rolled out new AI-based software to tackle the complex healthcare challenge of utilization ...

Much of the dysfunction in healthcare stems from misaligned incentives and a lack of transparency. Insurers, in their effort to control costs, have prioritized short-term denials over long-term value ...

This survey assesses physician experiences with utilization management and burnout and investigates whether there is a link between them. Objective: This study was designed to assess physician ...