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The efficiency of a health plan’s utilization management (UM) process directly impacts payer costs, case management operations, and member and provider satisfaction. If a plan’s UM solution is inefficient, it can lead to systemwide errors and costly delays that affect care delivery and administrativ...

Vital Data Technology is excited to announce major updates to our Affinitē Utilization Management (UM) solution, part of our full Affinitē suite of medical management solutions for health plans. Driven by embedded data science and predictive artificial intelligence (AI), and featuring an enhanced us...

The ultimate goal of Utilization Management (UM) is to reduce operating costs while also increasing provider and patient satisfaction. However, these two factors can be at odds when added rules and manual review processes reduce the high cost of medical services, but end up hurting provider and memb...

Utilization management (UM) has benefitted from an accelerated pace of innovation in recent years that has enabled higher quality care, reduced administrative costs, and progress across the entire sector. A greater reliance on the use of technology to assess and identify trend data has worked to red...