La version audio de cet article est générée par la synthèse vocale, une technologie basée sur l’intelligence artificielle. Le Commissaire à l’information et à la protection de la vie privée de ...

Add Yahoo as a preferred source to see more of our stories on Google. Community Health Systems sued MultiPlan on May 8, 2024, alleging the cost management firm is colluding with health insurers to ...

Health insurers and health care provider organizations are increasingly using artificial intelligence (AI) tools in prior authorization and claims processes. AI offers many potential benefits, but its ...

Panelists discuss how utilization management policies can delay oncology care and call for reforms that better align oversight with clinical evidence. Panelists discuss how utilization management (UM) ...

For years, utilization management (UM) was quietly delegated away for scale, speed, and supposed efficiency. But today, health plans are hitting the breaking point. Prior authorizations, a core ...

Between 2013 and 2023, CT imaging utilization within emergency departments increased from 18.7 to 36.5 per 100 Medicare beneficiaries, according to a study published Sept. 30 in Radiology. Here are ...

Medicare Advantage (MA) has been a consistent earnings booster for insurers, but recent challenges in this space are likely to ding profitability, according to a new report. Analysts at AM Best found ...

A monthly overview of things you need to know as an architect or aspiring architect. Unlock the full InfoQ experience by logging in! Stay updated with your favorite authors and topics, engage with ...

For years, delegating utilization management (UM) functions to third-party vendors was seen as a practical response to rising medical costs, regulatory complexity, and distributed networks. Vendors ...

In the never-ending effort to balance financial return and operational efficiency, the age-old debate of rent vs. own echoes through the corridors of most shops and yards. It could be a small business ...

BEIJING, Aug 5 (Reuters) - China's renewable power potential in far-flung provinces is increasingly going unused, official statistics showed on Monday, as the country rushes to build more ...

Aircraft utilization by NetJets, Flexjet, VistaJet and Wheels Up grew during Q2 2025 when compared to the same period in 2024, according to Aviation Week’s Tracked Aircraft Utilization data. Wheel’s ...