AI and the state of utilization management: Lessons for health plans
Thursday, July 17th, 2025 | 1:00 PM - 2:00 PM CT
Many current utilization management processes lack the transparency, speed and interoperability needed to meet current requirements — and the stakes for health plans are rising as CMS-0057 deadlines loom.
This webinar breaks down new national research on UM practices across payer organizations, offering a clear-eyed view of what's working, what's not and where change is most needed.
Leaders will also explore how AI-assisted technologies could help health plans get ahead of future interoperability challenges, including those tied to CMS-0057.
Key insights include:
This webinar breaks down new national research on UM practices across payer organizations, offering a clear-eyed view of what's working, what's not and where change is most needed.
Leaders will also explore how AI-assisted technologies could help health plans get ahead of future interoperability challenges, including those tied to CMS-0057.
Key insights include:
- Where UM processes are breaking down across health plans and care settings
- How AI-assisted tools could reduce delays and improve alignment now and in the future
- Real-world takeaways to improve speed, transparency and readiness ahead of CMS-0057
Presenters:
Kenneth Young
CEO, Medecision
Angela Moemeka, MD, MBA
Chief Medical Officer, Government Programs, HCSC
Cameual Wright, MD, MBA
President, CareSource
Thomas MacMillan
Chief Operating Officer, Emblem Health
