For many payers, utilization management is still synonymous with prior authorization. But that narrow view can lead to missed opportunities, care delays and member dissatisfaction.
This session explores how leading health plans are reframing UM as a proactive strategy to close care gaps and elevate care quality. Leaders will share real patient stories where direct outreach and site-of-care guidance led to meaningful improvements in health outcomes and member experience.
You will learn:
- UM's evolving role in guiding care, beyond approvals and denials
- Specific examples where outreach led to earlier interventions and better health outcomes
- Best practices to embed member-centricity into scalable UM programs
