A medical professional explains the many facets of the prior authorizations process for drugs in women’s health. Ryan Haumschild, PharmD, MBA, MS: Prior authorizations are something that we’re used to ...

BREA, Calif.--(BUSINESS WIRE)--NCH Management Systems, Inc., D/B/A New Century Health (NCH), a national leader in specialty care management, today announced it has been accredited in Utilization ...

PALM BEACH GARDENS, Fla.--(BUSINESS WIRE)--Dane Street, a national leader in Independent Medical Exams and Reviews, announced today that it has achieved Accreditation in Utilization Management from ...

Bhavesh Shah, PharmD, and Robert Groves, MD, discuss the priorities payers should be taking into account when managing psoriasis treatment. Ryan Haumschild, PharmD, MS, MBA: Hello and welcome to this ...

| What if you could stop financial waste before it starts? Learn how unifying your claims tech and intelligence is changing ...

Insurance companies often restrict University of Utah Health physicians from prescribing the optimal drug for a patient's illness. Providers are left to choose between the second or third choice after ...

In a recent blog post, Medecision discusses utilization management and its shifting definition. The term “Utilization Management” was first heard in healthcare roughly three decades ago. The Institute ...

DALLAS, June 5, 2025 /PRNewswire/ -- MCG Health, part of the Hearst Health network and an industry leader in evidence-based guidance and technology, announces its participation in the 2025 CMSA Annual ...

Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask payors these 10 questions regarding utilization and management ...

How MCG Indicia software (enhanced with AI capabilities) has improved medical necessity documentation and increased hospital staff efficiency The sources of EHR data that are beneficial in determining ...

Improving expected mortality through CDI physician advisor engagement: Lessons from a comprehensive cancer center. Utilization management and monthly total cost of generic abiraterone and imatinib by ...