The American Journal of Managed Care

Association of Opioid Utilization Management With Prescribing and Overdose

Opioid utilization management in Medicare was associated with mixed effects on opioid prescribing, and prior authorization was associated with a decreased likelihood of subsequent overdose. Objectives ...
Detroit Free Press

Employers Using Direct Primary Care Models Experience Reduced Healthcare Utilization Costs

SLIDELL, LA, UNITED STATES, January 2, 2026 /EINPresswire.com/ — Employers across multiple industries are increasingly examining healthcare utilization patterns as ...
Health Affairs

The Role Of Utilization Management

Considering the recent article by Scott Howell and colleagues (August 2021), I want to clarify how drug utilization management tools are used to help millions of patients access the medications they ...
The American Journal of Managed Care

Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management Program

Higher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients ...
Becker's Hospital Review

Breaking the cycle: How leveraging love, process redesign enhanced utilization management and elevated patient care

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 ...
Business Wire

Sagility Introduces Utilization Management as a Service to Improve Prior Authorization, Mitigate Costs

DENVER--(BUSINESS WIRE)--Sagility, LLC, a technology-enabled healthcare business process management (BPM) company, has announced the launch of its Utilization Management as a Service (UMaaS) offering ...