For years, utilization management (UM) was quietly delegated away for scale, speed, and supposed efficiency. But today, health plans are hitting the breaking point. Prior authorizations, a core ...
SLIDELL, LA, UNITED STATES, January 2, 2026 /EINPresswire.com/ — Employers across multiple industries are increasingly examining healthcare utilization patterns as ...
Opioid utilization management in Medicare was associated with mixed effects on opioid prescribing, and prior authorization was associated with a decreased likelihood of subsequent overdose. Objectives ...