As healthcare moves toward the full embrace of value-based care models, utilization management is increasingly leveraged as a means to not only manage costs but to ensure quality and manage risk as well.
Both payer and provider organizations are leveraging UM as a key strategy of various population health initiatives. With these programs, UM is used to maintain the highest quality of care while reducing or eliminating care that is inefficient, wasteful or unnecessary. As UM takes on new meaning and increased importance under value-based care, though, healthcare organizations need an approach to deal with various challenges that arise.
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About The Author: Medecision
Medecision is a leader in cloud-based, data-powered healthcare solutions, enabling risk-bearing entities to achieve improved health outcomes, optimized medical costs, reduced administrative costs, and personalized engagement. Our Aerial platform supports over 10% of the U.S. population, marking a significant milestone in advancing healthcare efficiency and effectiveness.
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