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® is an integrated health management solutions company, whose software and services are used today by 85+ leading health plans and care delivery organizations to support more than 50 million people. Aerial™, our HITRUST CSF®-certified, SaaS solution, brings order and control to the complexities of healthcare. Aerial connects the entire care ecosystem to data and insights that drive meaningful patient and member engagement, and efficiencies that reduce costs and support effective care management, utilization management, and more. And Aveus, our professional services division, helps business leaders solve complex business challenges so their organizations can innovate and thrive.
