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 UM/UR process: the Care Level Score™.
Read more in this SmartBrief published White Paper on Xsolis’ proprietary Care Level Score™ (CLS™) that brings together everything from vital signs and lab results to physician’s notes, medications, and other clinically relevant data in real-time for payers and providers to streamline the case review process. You’ll also learn more on MultiCare Health System, Covenant Health, and Humana’s respective success using the CLS to reduce variability, improve payer provider collaboration, and focus their attention on care optimization over clerical tasks.
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How to Produce Objective, Actionable Insights on Medical Necessity