Smart Utilization – Reviews ‘by Exception’ and Beyond
Utilization review and case management teams have firm goals: effectively managing patient care and supporting the financial well-being of their organizations. Yet these teams are often understaffed and buried in clerical […]
The Future of Utilization Management – Q&A with Michelle Wyatt
This is the second in a two-part interview with P. Michelle Wyatt, DNP, MSN, RN, IQCI, CPHM, who has spent nearly two decades in utilization management and currently serves as […]
Utilization Review Nursing with Michelle Wyatt (Part 1)
This is the first in a two-part interview with P. Michelle Wyatt, DNP, MSN, RN, IQCI, CPHM, who has spent nearly two decades in utilization management and currently serves as […]
The Shift from Traditional Criteria
Simply put, the model of traditional criteria is not cutting it in today’s healthcare environment. While innovation is rapidly transforming operations and decision-making, traditional screening criteria still rely on solitary, […]
Key Articles We Wrote in 2018
With healthcare amidst a sea change, leaders are rethinking their positions on issues that had seemed clear just a few years ago. Leaders from within our organization lent their insight […]