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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Author: Medecision
Medecision connects the healthcare ecosystem and enables consumers to be empowered with personalized experiences focused on efficient and effective support across their care community. Aerial™, our robust, SaaS-based care intelligence platform, delivers this integrated health experience by deploying a comprehensive personal health record that powers all kinds of care interactions — from virtual and digital to physical and telephonic. With professional services from our Aveus division, we solve complex business challenges and ensure consumers and their support teams are coordinated, communicating, and connected to pursue the next right action for all involved.