Findings of a survey of large employers indicate that utilization management tools are ineffective in controlling health care costs for employees and may lead to barriers to treatment. Employer ...
COA survey of independent community oncology practices shows insurer requirements delay treatment, override clinical ...
Key opinion leaders share their perspectives on utilization management strategies in treatment of women’s health. Neil Minkoff, MD: We talked a little about managing oral contraceptives. Maria, you ...
As healthcare costs continue to rise, businesses face increasing pressure to balance comprehensive benefits with financial sustainability. One of the most significant challenges is the escalating cost ...
A conservative 3% trend means a $100 billion Medicare Advantage book could face a $3 billion shortfall. Even before the Final ...
Cape Town, Western Cape / Syndication Cloud / February 19, 2026 / BestProjectKits Project management tools have evolved ...
Population health management is a perennial challenge for benefits leaders. If money were no object, a company could offer all manner of perks that might contribute to better health. But with ...
California Governor Newsom signed Senate Bill 1120 into law, which is known as the Physicians Make Decisions Act. At a high level, the Act aims to safeguard patient access to treatments by mandating a ...
Use of algorithms and artificial intelligence (AI) in prior authorization and utilization management is facing growing criticism and litigation. Notable lawsuits include alleged automatic ...