Utilization Management Technology
Needs in a Value-Based World
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A strong technology framework is critical to achieving an effective and efficient Utilization Management process. To ensure that members are receiving the right services at the right time and in the right setting, comprehensive timely data across the care continuum must be available to support data-guided utilization management, enabling real-time data and insights to be applied to the review process. Automation must drive UM decision and review workflows with seamless evidence-based decision support to meet standards for timeliness and promote a higher standard of quality care and improved outcomes.
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