How AI + clinical evidence can beat your utilization management expectations

Wednesday, July 21st, 2021 | 12:00 PM - 1:00 PM CT

Current utilization management processes are filled with inefficiencies and denials risk. Medical Necessity information is both laborious to find and oftentimes available late in the process or after decisions are already made.

Attend this webinar to learn how a unique blend of AI, automation and evidence-based criteria can help transform utilization and case management into an efficient, proactive and defensible program that improves clinical and financial outcomes. Walk through patient scenarios to understand where, when and how AI and automation can be leveraged to support the foundational application of clinical expertise and defensible evidence-based medical necessity criteria.

Learning Points:

  • Summarize the appropriate use of AI and Robotic Process Automation within utilization management.
  • Validate best practices to support transparency, foster payer-provider collaboration and improve decision-making.
  • Transform expectations for UM programs with workflow optimization and patient prioritization using a blended approach of technology, evidence, and clinical expertise to improve both clinical and financial outcomes.


Laura_Coughlin_DSC_0476 (5) - Emma Goodman

Laura Coughlin, RN, BSN, MBA

Vice President, Clinical Innovation and Development, Change Healthcare