MCLEAN, Va., April 26, 2023 /PRNewswire/ -- The Virginia Department of Medical Assistance Services (DMAS) has awarded Keystone Peer Review Organization, LLC (Kepro), a subsidiary of CNSI, a $113 ...
After implementing Xsolis’ AI-powered Dragonfly™ platform, AnMed achieved a 14.6X return on investment from June 2024 to June 2025 while strengthening collaboration with health plan partners and ...
NEW YORK--(BUSINESS WIRE)--Today, VirtualHealth announced the release of a completely redesigned Utilization Management (UM) module within its cloud-based care management solution HELIOS®. The newly ...
Funding Supports the Scale of Ease’s AI-Native Operating System for Behavioral Health: One Record, One Workflow, One Source of Truth— NEW YORK--(BUS ...
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 ...
EmpiRx Health saw a significant increase in pharmacy claims for behavioral health therapies but found managing these treatments in a value-based approach can mitigate the costs. The pharmacy benefit ...
Eric C. Hunter, MBA, has been president and CEO of CareOregon, the largest Medicaid managed care plan in Oregon, since 2016, ...
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