Utilization Management

Ensuring a Successful Open Enrollment: Key Areas for Healthcare Payers & TPAs

As healthcare payers and third-party administrators (TPAs) gear up for the open enrollment period (OEP) and annual enrollment period (AEP), ensuring a […]

Critical Prep Areas for 2024 Utilization Management (UM)-Focused Audits

The 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F) introduced new constraints on Utilization Management (UM) policies, particularly prior authorization, effective […]

HealthAxis and InfoMC Announce Strategic Partnership to Revolutionize Healthcare Management

HealthAxis, a leader in health plan administration technology and services, and InfoMC, a pioneer in medical management and behavioral health technology solutions, […]