The new era of utilization management: What payers should know
Outdated utilization management is putting patients at risk and driving up medical costs. With new CMS rules and bipartisan legislation in play, health plans must modernize — or face regulatory, reputational and operational fallout.
This whitepaper dives into the urgent case for reform and what leading payers are doing now to drive sustainable change. You'll learn how AI and analytics are transforming prior authorization workflows — reducing denials, boosting efficiency and ensuring compliance.
Key takeaways include:
This whitepaper dives into the urgent case for reform and what leading payers are doing now to drive sustainable change. You'll learn how AI and analytics are transforming prior authorization workflows — reducing denials, boosting efficiency and ensuring compliance.
Key takeaways include:
- How to reduce medical costs and denial-related friction with scalable generative AI
- The real cost of sticking with legacy UM systems and how AI shifts the economics
- A four-part framework to modernize UM without compromising care access or oversight
Please fill out the form to download the whitepaper.