The Centers for Medicare & Medicaid Services has released a toolkit that outlines strategies for states to strengthen access to behavioral health services for children enrolled in Medicaid and the ...

Eric C. Hunter, MBA, has been president and CEO of CareOregon, the largest Medicaid managed care plan in Oregon, since 2016, ...

Utilization management (UM) is a painstakingly manual process that adds administrative burden, increases healthcare waste and complicates payer-provider dynamics — yet does not necessarily improve ...

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 ...

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 ...

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 ...

Overall spending for behavioral health services increased by 53.7 percent from 2019 to 2022, a study published Aug. 25 in JAMA Health Forum found. The study examined claims data for over 7 million ...