Reimagining utilization management: Amplifying human expertise with automation, AI


This whitepaper explores the evolution of utilization management (UM) in healthcare, examining the mounting pressures faced by both payers and providers. It analyzes the impact of rising healthcare costs, increased regulatory requirements and evolving patient expectations in a value-based care landscape. The paper emphasizes the need for innovative solutions to balance patient care with the realities of a strained healthcare system.
 
Three key learning points from the white paper include:
 
  • An overview of the challenges healthcare providers experience due to manual, time-consuming processes.
  • Why integrating technology, such as AI and automation, can streamline UM workflows and enhance decision-making.
  • Why collaboration between payers and providers is essential for successful UM implementation.
 

Please fill out the form to download the whitepaper.