Tag: utilization management

Predictive Analytics in Healthcare: Transitioning Data into Actionable Insight

We can’t predict the future, however, the healthcare industry is working to address cost and utilization issues through predictive analytics. As defined by CIO Magazine, predictive analytics is a category of data analytics aimed at making predictions about future outcomes based on historical data and analytics techniques that can generate future insights with a significant […]

The Merits of IME and IMR

The business world is full of acronyms. Terms such as ROI (return on investment), CMS (content management system), CPL (cost per lead), KPI (key performance indicator) and API (application program interface) are discussed by many working professionals on a regular basis. Two well-known acronyms for health plans and payers are IME, otherwise known as independent […]

Evidence-Based Reporting in Independent Medical Reviews: Abounding in Benefits

Clear communication is essential in many facets of life. Whether it’s a teacher telling students about classroom rules or a physician explaining a diagnosis to a patient, providing easy-to-understand direction is important. This need for clear and open communication is evident in the healthcare industry because it can make the difference in outcomes, patient safety, […]

Fall 2018: Healthcare Updates To Know

  In the healthcare industry, missing a new regulation or alternative treatment could cost you more than money or time. In order to stay informed, we’ve rounded up the most recent updates: New Non-Opioid Treatments For Opiate Withdrawal In response to the national opioid crisis, the FDA has recently approved two new treatments to mitigate […]

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