Blog
Featured Speaker – Lynn Leoce, Executive Director at AdventHealth
How do some of the largest systems in the nation manage care and utilization at scale? As Executive Director for AdventHealth (formerly known as Adventist Health System) in Florida, Lynn […] Blog
AI and Change Management – ‘Puts the Nurse Back in the Driver’s Seat
Technology is reshaping the discipline of utilization review. Today’s nurse often have computers and data science at their disposal, yet using them effectively can be daunting. In a recent webinar, […] Blog
Your Physician Advisor Escalations Should Be Going Down
Utilization review forms the first line of defense for revenue-sensitive cases for hospitals; physician advisors serve as the backbone and second line for cases requiring greater scrutiny or closer inspection. […] Blog
Xsolis Welcomes Paul Cummings as Chief Product Officer
Our team is happy to announce a new and welcome addition, Paul Cummings, who will serve in the newly created role of Chief Product Officer. Paul’s primary focus will be […] Blog
Utilization Management Made “Relevant”
Utilization management is part of the lifeblood of the revenue cycle. Case managers and UR staff man the front lines of helping hospitals stay solvent, yet they are often just […] Blog
Metric You Should Know: The Exception Rate for Potential Revenue Leakage
Today’s care management executive or CFO typically has a full list of metrics at their disposal: from length of stay to observation rates to conversion rates and more. But as […] Blog
Create Alignment and Improve Payer-Provider Collaboration: A Case Study at Covenant Health
Late last month I moderated a webinar with a panel of two industry leaders, Tonya Harrison representing Atrium Health and Sherri Ernst representing Covenant Health. Previously, I explored Atrium Health’s adoption […] Blog
Managing Utilization in the Age of AI
In healthcare, artificial intelligence (AI) has leapt from the fringes into mainstream conversation; not a day goes by that I’m not asked about the concept or how healthcare organizations should […] Blog
Getting Smart: Artificial Intelligence and Utilization Management
Seattle may have a reputation for rain and cloudy skies, but it was a bright and cheerful crowd that greeted us at the American Case Management Association’s annual National Conference […] Blog