Emergency departments play a pivotal role in the acute management of seizures, yet their routine use by people with epilepsy often reflects systemic gaps in chronic care rather than true medical ...

Utilization management involves methods by health care plan administrators to minimize costs while also maintaining the quality of care. The process is intended to prevent wasteful spending but not to ...

We appreciate the thoughtful response of Susan Cantrell and the Academy of Managed Care Pharmacy to our work (August 2021). Our study highlights the burden of drug utilization management on the ...

Impact of palliative care clinic (PCC) referrals on pain control in genitourinary (GU) cancer patients: Retrospective analysis at Roswell Park Cancer Institute (RPCI). This is an ASCO Meeting Abstract ...

The hospital revenue cycle management involves clinical decisions, regulations/contracts and billing/finance. To help connect the dots between these areas while improving efficiency, it is crucial ...

Writing effective utilization management goals typically ensures that all resources get expended effectively and efficiently. A committee usually forms to assess and evaluate past practices to set ...

FRANKLIN, Tenn., April 01, 2026 (GLOBE NEWSWIRE)-- Xsolis, an AI-driven technology company that reduces administrative waste by enabling collaboration between healthcare providers and payers, today ...

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 ...

The continuing launch of innovative but high-price drugs has intensified efforts by payers to manage use and spending and by pharmaceutical manufacturers to support patient access and sales. Payers ...

The Ohio Department of Medicaid (ODM) recently approved voluntary utilization management policies for certain community behavioral health services, effective July 1, 2026. Prior authorizations for the ...