Business Wire

US Family Health Plan Selects eQHealth for Population Health Management, Utilization Management and Care Management Services

BATON ROUGE, La.--(BUSINESS WIRE)--US Family Health Plan (USFHP) has enlisted eQHealth Solutions to provide both eQSuite® Population Health Management technology to support their case management ...
Business Wire

Magellan Rx Management Biosimilar Program Shifts Infliximab Utilization by 86% in First Year, Resulting in 34% Drug Cost Savings

SCOTTSDALE, Ariz.--(BUSINESS WIRE)--Magellan Rx Management, the pharmacy benefit management (PBM) division of Magellan Health, Inc. (NASDAQ: MGLN), released new data today showcasing results from its ...
Becker's Hospital Review

Aligning Case Management Processes With the Revenue Cycle

Case management, with its standards of practice of patient advocacy and resource stewardship and its role as a liaison between patients, payors and the healthcare team, is in a unique position to ...
ascopubs.org

Understanding Utilization Management Policy: How to Manage This Increasingly Complex Environment in Collaboration and With Better Data

Utilization management policy has many forms, but has become increasingly complex as cancer scientific discovery has blossomed, cancer subtypes have become more numerous, therapeutic opportunities ...
Becker's Hospital Review

Dr. Catherine Brisland, Senior Medical Director, Utilization Management, UPMC Health Plan

This episode recorded live at the 2023 Becker’s Payer Issues Roundtable in Chicago features Dr. Catherine Brisland, Senior Medical Director, Utilization Management, UPMC Health Plan. Here, she ...
The American Journal of Managed Care

Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management Program

Higher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients ...
JD Supra

California Limits Health Plan Use of AI in Utilization Management

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 ...