Risk Sharing Requires Health Plans to Hone Utilization Management Process
Healthcare organizations’ success under risk sharing and value-based care relies on a well-oiled UM program.
Healthcare organizations’ success under risk sharing and value-based care relies on a well-oiled UM program.
Until recently, Utilization Management was all about how health plans determine preauthorization. But that definition is fast becoming outdated.
What does Utilization Management have to do with Population Health? The answer: everything.