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Blog

Utilization Management Made “Relevant”

Utilization management is part of the lifeblood of the revenue cycle. Case managers and UR staff man the front lines of helping hospitals stay solvent, yet they are often just […] Blog

Metric You Should Know: The Exception Rate for Potential Revenue Leakage

Today’s care management executive or CFO typically has a full list of metrics at their disposal: from length of stay to observation rates to conversion rates and more. But as […] Blog

Create Alignment and Improve Payer-Provider Collaboration: A Case Study at Covenant Health

Late last month I moderated a webinar with a panel of two industry leaders, Tonya Harrison representing Atrium Health and Sherri Ernst representing Covenant Health. Previously, I explored Atrium Health’s adoption […] Blog

Managing Utilization in the Age of AI

In healthcare, artificial intelligence (AI) has leapt from the fringes into mainstream conversation; not a day goes by that I’m not asked about the concept or how healthcare organizations should […] 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– […]
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Peer-Reviewed Studies Across Major U.S. Health Systems Validate AI in Utilization Management
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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
READ MORE