For years, utilization management (UM) was quietly delegated away for scale, speed, and supposed efficiency. But today, health plans are hitting the breaking point. Prior authorizations, a core ...

As hospitals and health systems continue to grapple with revenue leakage and clinical denials, many are turning to innovative technologies to bridge the gap between payers and providers. Organizations ...

Jill O'Brien, Morton Hospital's new CMO, says the essence of utilization management is providing the right care for the right patient in the right setting at the right time. The new CMO of Morton ...

The Centers for Medicare & Medicaid Services Sept. 30 issued a memo, through the Health Plan Management system, finalizing the Medicare Advantage Utilization Management Annual Data Submission ...

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As cloud costs grow more complex, understanding fixed vs. variable pricing, spotting hidden charges and using the right discount strategies are essential to keeping budgets on track. The basics of ...

Data is the fuel behind the AI revolution -- the foundational building block for the new technological world order. But data is immaterial, difficult to organize, and subject to an ever-growing ...

Powered by Apache NiFi™, Snowflake Openflow redefines what open, extensible, and managed data movement looks like, dramatically simplifying the process of getting data from where it is created to ...

Join the event trusted by enterprise leaders for nearly two decades. VB Transform brings together the people building real enterprise AI strategy. Learn more For anyone in AI, it’s no big news that ...

Snowflake (Nasdaq:SNOW) has introduced a new multi-modal data ingestion service — Openflow — designed to help enterprises solve challenges around data integration and engineering in the wake of demand ...

SYRACUSE, N.Y.--(BUSINESS WIRE)--Cordoniq, the secure, vision AI-driven platform for business processes and collaborations, today announced its new integration with Alibaba Cloud’s Qwen3, the latest ...