Health systems and health insurance plans spend enormous sums of money battling over how to be paid fairly — and these battles have only intensified with the growth of Medicare Advantage plans, which ...

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 ...

How can health systems deliver the right care, at the right cost, in the right setting, without overwhelming delivery and reimbursement systems with administrative burden? The shift from volume to ...

Building on its expertise in building artificial intelligence solutions for hospitals, Iodine Software rolled out new AI-based software to tackle the complex healthcare challenge of utilization ...

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 ...

MedeAnalytics, an industry pioneer in AI-powered enterprise healthcare intelligence, analytics, and data management, and Basys.ai, an innovation leader in agentic AI for healthcare, today announced a ...

SAN DIEGO--(BUSINESS WIRE)--Mitchell International, Inc., a leading provider of technology, connectivity, and information solutions to the Property & Casualty (P&C) claims and Collision Repair ...

Ann Montanio has been named senior director of Revenue Cycle at Acadian Companies, bringing 20-plus years of expertise in IT, finance and more.

SCHERTZ, Texas, February 12, 2026--(BUSINESS WIRE)--ProPeer Resources, a leading independent review organization specializing in utilization management and peer review services, today announced it has ...