Blog
AI vs. Machine Learning vs. Deep Learning vs. NLP
Artificial intelligence (AI), machine learning, deep learning, natural language processing (NLP), and more. These related concepts are broadly valuable for modern businesses, in general, and for healthcare utilization management in […]
Blog
How Payer and Provider Collaboration Leads to Value-Based Success
For too long, relations between healthcare payers and providers have been viewed as a zero-sum game – that for every win or advantage one side experiences, there is an inherent […]
Blog
South Shore Health: Reduced Outlier Length of Stay Cases by 17% with More ‘Actionable’ Data
South Shore Health showcases how a comprehensive technology and services strategy can swiftly turn revenue challenges and operational inefficiencies into tangible results – for example, they were able to reduce […]
Blog
How AI Helps You and Your Healthcare Partners
Artificial intelligence (AI) has the power to broadly transform operations across the healthcare industry. That includes helping health plans and providers automate case reviews and access relevant clinical data for […]
Blog
How to Consistently Provide and Corroborate Effective Clinical Documentation Integrity
Effective clinical documentation integrity (CDI) plays a critical role in healthcare. It supports positive outcomes for patients, emphasizes high-quality data generally, and leads to a more efficient reimbursement process for […]
Blog
AI-driven Utilization Management Solution from Xsolis Delivers Up to 83% Time Savings
‘Real-time, predictive analytics are essential’ for healthcare to tackle revenue and staffing challenges Utilization management (UM, also called utilization review or UR) is a crucial part of modern healthcare operations. […]
Blog
Hospital Utilization Management as a Cost Containment Strategy
As complex as the healthcare industry can be, saving money is a goal shared by all stakeholders.
Case Study
Covenant Health
Connected, Collaborative, Centralized UM
Covenant Health Every change starts with a change-maker. Sherri Ernst didn’t envision herself as the face of transformation for utilization management until she realized an idea borne out of necessity […]
Blog
Hospital CFO Advice to Improve Bottom Line and Generate Value Quickly
Jerry Yang has a unique vantage point to discuss the current industry challenges facing hospital CFOs. His experience spans over a decade with five different hospital systems, and he currently […]
Blog
The Nursing Shortage and How AI Can Optimize Your Current Staff
Nurses play a crucial role in healthcare, from monitoring and advocating for patients to helping to develop and acting on care plans. Without nurses, hospitals and health systems simply could […]