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Utilization Management

Why Does Value-Based Care Matter in Utilization Management?

As the healthcare industry continues to evolve, value-based care (VBC) has emerged as a transformative approach designed to improve patient outcomes while managing costs. This shift in focus from volume to value has significant implications for utilization management (UM), particularly for adjusters, case managers, and insurance professionals who play a… Read More

Nov. 12, 2024 • 5 min. read

Medicare Solutions

What is Medicare Secondary Payer (MSP) and How Does It Work?

Nov. 8, 2024 • 5 min. read

Case Management

Telehealth: What Insurers Need to Know in 2024

Jul. 24, 2024 • 5 min. read

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