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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

Trust and Transparency: Themes from Nashville’s Healthcare Industry

Yesterday I was honored to be part of a panel discussion on healthcare technology entrepreneurship alongside Chase Spurlock of IQuity, John Bass of Hashed Health and Austin Dirks of Greenlight Medical– […]
Blog

Thinking Bigger

As a hospital, how do you feel about your relationship with your payers? As a payer, how do you feel about your relationship with your providers?   Do you feel […]
Blog

Analytics to Prioritize Denials Recovery Efforts

“What can we do to shore up processes and optimize outcomes during revenue recovery?” Our team gets this question time and again. While the first step is deploying healthcare technology […]
Blog

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 […]
Blog

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 […]
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Peer-Reviewed Studies Across Major U.S. Health Systems Validate AI in Utilization Management
Independent academic research reports measurable improvements in level-of-care accuracy, observation discharge rates and operational forecasting
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Peer-Reviewed Studies from U.S. Health Systems Validate AI in Utilization Management