US EditionModernizing UM: A case for system-level change
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Modernizing UM: A case for system-level change
For many health systems, utilization management (UM) has long been a functional necessity, but rarely a strategic priority. Originally designed to ensure clinical appropriateness and support payer requirements, UM often grew up within hospital walls, shaped by local workflows and embedded within broader care management structures. As a result, traditional UM functions today are frequently fragmented, inconsistent and outpaced by competing financ…
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