Legacy care management (CM) technologies and workflows are creating challenges for healthcare organizations looking to expand their programs—which negatively impacts clinical outcomes,…

Legacy utilization management (UM) technologies and workflows create a number of challenges. Even though health plans have enormous amounts of information, UM…

Medecision was featured in a recent article from HealthLeaders. You can find the full article here. An excerpt from the article by…

By Terri Steinberg, Chief Medical Officer and Chief Strategy Officer, Medecision In my last post, we looked at the characteristics of and…

New market research reveals a deep divide between health plan executives recognizing the need to have full contextual awareness of a member’s…

The sharpening focus of the healthcare industry and the federal government on prior authorization and interoperability is amping up the pressure on…

In healthcare payers’ never-ending quest to reduce costs while ensuring that members receive the care they need, the importance of effective utilization…

What does the new interoperability and prior authorization rule mean for the patient experience? Julie Barnes, founder and principal of Maverick Health…

As healthcare moves toward the full embrace of value-based care models, utilization management is increasingly leveraged as a means to not only…