Insurancenewsnet.com

Pritzker’s health insurance reforms targeting ‘utilization management’ clear House

SPRINGFIELD — Gov. J.B. Pritzker celebrated a partial legislative victory Thursday night when the House passed his initiative to end some practices health insurance companies use to control the amount ...
The American Journal of Managed Care

Employer Utilization Management Prioritizes Health Benefit Cost Over Patient Care, Survey Finds

Findings of a survey of large employers indicate that utilization management tools are ineffective in controlling health care costs for employees and may lead to barriers to treatment. Employer ...
Houston Chronicle

Examples of Utilization Management Activities

Utilization management involves methods by health care plan administrators to minimize costs while also maintaining the quality of care. The process is intended to prevent wasteful spending but not to ...
The American Journal of Managed Care

Inpatient Rehabilitation Utilization for Acute Stroke Under a Universal Health Insurance System

Based on claims data from a universal health insurance system, inpatient stroke rehabilitation use was 34.0% and mainly related to stroke type and stroke severity. Inpatients with stroke were sampled ...
ascopubs.org

Understanding Utilization Management Policy: How to Manage This Increasingly Complex Environment in Collaboration and With Better Data

Utilization management policy has many forms, but has become increasingly complex as cancer scientific discovery has blossomed, cancer subtypes have become more numerous, therapeutic opportunities ...

Employers Using Direct Primary Care Models Experience Reduced Healthcare Utilization Costs

When employees have reliable access to primary care, behavior changes” — Chad Carrone SLIDELL, LA, UNITED STATES, January 2, 2026 /EINPresswire.com/ — Employers across multiple industries are ...