---
title: "The new era of utilization management: What payers should know"
image: https://go.beckershospitalreview.com/hubfs/site/beckers-healthcare-whitepaper-cta.png
---

[Skip to main content](https://go.beckershospitalreview.com/payerwp/the-new-era-of-utilization-management-what-payers-should-know#main)

- [BHR](https://www.beckershospitalreview.com/)
- [Clinical](https://www.beckershospitalreview.com/quality/)
- [Health IT](https://www.beckershospitalreview.com/healthcare-information-technology/)
- [CFO](https://www.beckershospitalreview.com/finance/)
- [ASC](https://www.beckersasc.com/)
- [Spine](https://www.beckersspine.com/)
- [Dental](https://www.beckersdental.com/)
- [Payer](https://www.beckerspayer.com/)
- [Behavioral](https://www.beckersbehavioralhealth.com/)
- [Physician](https://www.beckersphysicianleadership.com/)

More

- About
  
    - [About Becker’s](https://hubs.beckershealthcare.com/about)
    - [Careers](https://hubs.beckershealthcare.com/careers)
- For Sponsors
  
    - [Contact Us](https://www.beckershospitalreview.com/contact-us/)
    - [Media Kit](https://www.beckershospitalreview.com/request-media-kit/)
    - [Content Specs](https://hubs.beckershealthcare.com/content-specifications)
    - [MyBHC](https://my.beckershospitalreview.com/)

 Search

[Subscribe](https://www.beckershospitalreview.com/subscribe/)

[![Becker's Payer Issues | Payer News](https://www.beckerspayer.com/wp-content/uploads/sites/4/2025/02/logo-payer.png)](https://www.beckerspayer.com/)

- Strategy
  
    - [Payer Issues](https://www.beckerspayer.com/payer/)
    - [Virtual Care](https://www.beckerspayer.com/virtual-care/)
- Leadership & Workforce
  
    - [Leadership](https://www.beckerspayer.com/leadership/)
    - [Executive Moves](https://www.beckerspayer.com/executive-moves/)
    - [Workforce](https://www.beckerspayer.com/workforce/)
- Policy
  
    - [Contracting](https://www.beckerspayer.com/contracting/)
    - [Policy Updates](https://www.beckerspayer.com/policy-updates/)

- Resources
  
    - [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/)
    - [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/)
    - [Whitepapers](https://www.beckershospitalreview.com/whitepapers/)
    - [Podcasts](https://www.beckerspodcasts.com/)
    - [Featured Content](https://conferences.beckershospitalreview.com/featured-content)
    - [Lists](https://conferences.beckershospitalreview.com/lists/7368520)
    - [Surveys](https://www.beckershospitalreview.com/surveys/)
    - [Videos](https://conferences.beckershospitalreview.com/videos)
    - [Newsletters](https://www.beckershospitalreview.com/newsletters/)
- Events
  
    - [Live Events](https://conferences.beckershospitalreview.com/upcoming-events)
    - [Virtual Events](https://conferences.beckershospitalreview.com/upcoming-events/virtual-event)

 Search for:

 Clear search

 Search

[![Becker's Payer Issues | Payer News](https://www.beckerspayer.com/wp-content/uploads/sites/4/2025/02/logo-payer.png)](https://www.beckerspayer.com/)

 Menu

[Subscribe](https://www.beckershospitalreview.com/subscribe/)

 Search for:

 Clear search

 Search

- Strategy
  
    - [Payer Issues](https://www.beckerspayer.com/payer/)
    - [Virtual Care](https://www.beckerspayer.com/virtual-care/)
- Leadership & Workforce
  
    - [Leadership](https://www.beckerspayer.com/leadership/)
    - [Executive Moves](https://www.beckerspayer.com/executive-moves/)
    - [Workforce](https://www.beckerspayer.com/workforce/)
- Policy
  
    - [Contracting](https://www.beckerspayer.com/contracting/)
    - [Policy Updates](https://www.beckerspayer.com/policy-updates/)

- Resources
  
    - [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/)
    - [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/)
    - [Whitepapers](https://www.beckershospitalreview.com/whitepapers/)
    - [Podcasts](https://www.beckerspodcasts.com/)
    - [Featured Content](https://conferences.beckershospitalreview.com/featured-content)
    - [Lists](https://conferences.beckershospitalreview.com/lists/7368520)
    - [Surveys](https://www.beckershospitalreview.com/surveys/)
    - [Videos](https://conferences.beckershospitalreview.com/videos)
    - [Newsletters](https://www.beckershospitalreview.com/newsletters/)
- Events
  
    - [Live Events](https://conferences.beckershospitalreview.com/upcoming-events)
    - [Virtual Events](https://conferences.beckershospitalreview.com/upcoming-events/virtual-event)

 Site Switcher

- [BHR](https://www.beckershospitalreview.com/)
- [Clinical](https://www.beckershospitalreview.com/quality/)
- [Health IT](https://www.beckershospitalreview.com/healthcare-information-technology/)
- [CFO](https://www.beckershospitalreview.com/finance/)
- [ASC](https://www.beckersasc.com/)
- [Spine](https://www.beckersspine.com/)
- [Dental](https://www.beckersdental.com/)
- [Payer](https://www.beckerspayer.com/)
- [Behavioral](https://www.beckersbehavioralhealth.com/)
- [Physician](https://www.beckersphysicianleadership.com/)

- About
  
    - [About Becker’s](https://hubs.beckershealthcare.com/about)
    - [Careers](https://hubs.beckershealthcare.com/careers)
- For Sponsors
  
    - [Contact Us](https://www.beckershospitalreview.com/contact-us/)
    - [Media Kit](https://www.beckershospitalreview.com/request-media-kit/)
    - [Content Specs](https://hubs.beckershealthcare.com/content-specifications)
    - [MyBHC](https://my.beckershospitalreview.com/)

## 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:**

 

- 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. 

[![Becker's Payer Issues | Payer News](https://www.beckerspayer.com/wp-content/uploads/sites/4/2025/02/logo-payer.png)](https://www.beckerspayer.com/)

### Contact Us

[1-800-417-2035](tel:180041720354)

[becker@beckershealthcare.com](mailto:becker@beckershealthcare.com)

- [RSS Feed](https://www.beckershospitalreview.com/rss-feeds/)
- [LinkedIn](https://www.linkedin.com/company/asc-communications/)
- [X](https://x.com/beckersasc)
- [Facebook](https://www.facebook.com/pages/Beckers-ASC-Review/85636754764)

### Other Becker’s Sites

- [Hospital](https://www.beckershospitalreview.com/)
- [ASC](https://www.beckersasc.com/)
- [Spine](https://www.beckersspine.com/)
- [Dental](https://www.beckersdental.com/)
- [Behavioral](https://www.beckersbehavioralhealth.com/)
- [Physician](https://www.beckersphysicianleadership.com/)

### More Resources

- [Events](https://conferences.beckershospitalreview.com/upcoming-events/)
- [Whitepapers](https://www.beckershospitalreview.com/whitepapers/)
- [Live Webinars](https://www.beckershospitalreview.com/webinar-types/upcoming-webinars/)
- [OnDemand Webinars](https://www.beckershospitalreview.com/webinar-types/ondemand-webinars/)

Copyright © 2026 Becker’s Healthcare. All Rights Reserved. [Privacy Policy](https://www.beckershospitalreview.com/privacy-policy/). [Cookie Policy](https://www.beckershospitalreview.com/cookie-policy/). [Linking and Reprinting Policy](https://www.beckershospitalreview.com/uncategorized/linking-and-reprinting-policy/). | [Employee Access](https://mhq-ep.prismhr.com/)

![](https://www.facebook.com/tr?id=1151078721744405&ev=PageView&noscript=1) ![](https://px.ads.linkedin.com/collect/?pid=1310345&fmt=gif)