AI and the State of Utilization Management: Lessons for Health Plans
Many current utilization management processes lack the transparency, speed and interoperability needed to meet current requirements — and the stakes for health plans are rising as CMS-0057 deadlines loom. This podcast breaks down new national research on UM practices across payer organizations, offering a clear-eyed view of what’s working, what’s not and where change is most needed. Leaders will also explore how AI-assisted technologies could help health plans get ahead of future interoperabi...
1 Apr 2025
The Future of Care Management: Leveraging AI and Automation
Traditional care management strategies are struggling to keep pace with rising administrative burdens, workforce shortages and increasingly complex member needs. Outdated processes — like relying on phone calls — fail to scale engagement and leave care teams overwhelmed. Health plans are turning to AI-driven technologies, such as co-pilots, to modernize care management. These tools enhance traditional care management by automating outreach, improving data-driven decision-making and expanding ...
12 Dec 2024
The Provider’s Role in Payer Care Management
Medecision's Dr. Ken Kleinrock explores the crucial role providers play in payer care management, driving connected, data-driven, and member-centric systems that empower individuals and enhance trust.
Reach and audience
Public platform figures. Ratings count people who left a rating, not total listeners.
Apple Podcasts (US)
5.0 / 5
6 ratings
Podcast Authority Score: 21 / 100
A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.
Quality
17
Social presence
0
YouTube
0
Engagement
60
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