About This Webinar
While utilization management (UM) and payment integrity (PI) share the same goals – ensuring appropriate, high-quality care and payments – these vital functions are typically not aligned internally. These systems and data silos lead to redundancies, provider abrasion, and missed opportunities for improved selections and cost avoidance.
This webinar will explore how forward-thinking payers are reimagining these functions, aligning them as part of a unified strategy. Learn how insourcing a clinical AI-powered platform can reduce vendor dependence, improve provider trust and satisfaction, and empower internal teams with greater efficiency and newfound transparency into the root causes of errors.
Attendees Will Learn About
- How siloed UM and PI functions create unnecessary inefficiencies, duplicated work, and provider abrasion
- Strategies to reduce “black-box” vendor ambiguity and provider frustration by providing unprecedented transparency into the root cause of coding and clinical validation errors
- How clinical intelligence in PI can drive smarter case selection and earlier interventions–getting it right from the get-go and de-risking pre-pay reviews
- Why insourcing a clinical intelligence-backed platform is becoming a competitive payer advantage and driving greater provider satisfaction
