As healthcare moves toward the full embrace of value-based care models, utilization management is increasingly leveraged as a means to not only manage costs but to ensure quality and manage risk as well.
Both payer and provider organizations are leveraging UM as a key strategy of various population health initiatives. With these programs, UM is used to maintain the highest quality of care while reducing or eliminating care that is inefficient, wasteful or unnecessary. As UM takes on new meaning and increased importance under value-based care, though, healthcare organizations need an approach to deal with various challenges that arise.
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About The Author: Medecision
Fully delivering on the promise of data — and making the business of healthcare simpler and more successful — Medecision offers a whole new world of possibilities. The company's flagship offering, Aerial™, stands as the market's most extensible clinical data platform. It offers complete contextual awareness of members and automates next best actions — simple campaigns, complex care management, utilization approvals, and more — for optimal health outcomes.
Aerial is not only quick to deploy, it is easy to manage. The platform's effectiveness in reducing both medical and administrative costs, coupled with its role in improving the member and patient experience, has made it the preferred choice for health plans and care delivery organizations. Presently, Aerial is instrumental in catering to over 10% of the U.S. population, marking a significant milestone in advancing healthcare efficiency and effectiveness.
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