The utilization management (UM) process can be inefficient and burdensome for both providers and payers.

Chilmark Research, the global research and advisory firm that is solely focused on the market for health IT solutions, explains the work burden that currently exists between these two groups.

Read more from Chilmark Senior Analyst Dr. Jody Ranck as he explores traditional processes used in UM and their challenges, and the application of AI and ML to build bridges between payers-providers – which Ranck concludes can ultimately drive improvements in relationships and increase trust across stakeholders.

 

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White Paper Chilmark and Xsolis White Paper Cover image Chilmark Report

Next Generation Utilization Management Through AI

    Case Study KLAS

Xsolis Recognized in 2023 KLAS Points of Light Case Study

Learn how Xsolis helped Humana and a networked provider organization solve common challenges like high preemptive denial rates and time-consuming manual work with its uncommon AI-backed technology and automation. White Paper

How to Produce Objective, Actionable Insights on Medical Necessity

Smartbriefs

Optimizing Care with AI and Machine Learning

The Utilization Management and Review (UM/UR) process is an area ripe for disruption. Innovation, driven by Artificial Intelligence (AI) and Machine Learning (ML), has brought a new approach to the […] Webinar Becker's

Streamlining the Payer-Provider Relationship with AI: MultiCare Health System’s Payer Collaboration Transformation

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Hillcrest HealthCare System: CLS as a guiding force that improves the bottom line

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Kingman Regional Medical Center: Prompt customer service from Xsolis has reaped major rewards

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How Dragonfly Harnesses Machine Learning, Big Data and Analytics in Healthcare

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Humana’s Angie Frame: Payers and providers working in harmony is no longer a pipe dream

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Hackensack Meridian Health: Best in class reporting to drive improvements, resiliency

Ever feel like your technological solutions are not providing an accurate view of the whole patient and their clinical health? Perhaps your utilization review team is being asked to check […]