About a year ago, the Eastern Orange Ambulatory Surgery Center in Cornwall, N.Y., flipped the traditional anesthesia payment model on its head. Instead of the facility paying anesthesia stipends, ...

Chicago-based Rush University Medical Center has added 1,705 more surgeries and reclaimed more than 257,000 case minutes between fiscal years 2021 and 2024 — a gain driven by predictive analytics ...

Every year, millions of dollars are lost to delays and inefficiencies in utilization management, making it one of the most daunting obstacles impeding timely, a ...

For years, delegating utilization management (UM) functions to third-party vendors was seen as a practical response to rising medical costs, regulatory complexity, and distributed networks. Vendors ...

Imagine an altogether different kind of utilization management that both payers and providers appreciate, where approvals are made at the point of decision, not after the fact. Utilization management ...