GenHealth.ai and Guidehealth achieved up to a 60% reduction in Utilization Management workload using GenHealth's AI-native ...

Behavioral health clinical review criteria guidelines and benefit interpretations for outpatient and/or inpatient care by diagnosis for children and adults. Strategies for quality-based efficient ...

Provision of enhanced access to behavioral health services by a large employer to its employees is associated with reductions in all-cause care utilization and cost. Objectives: To examine the impact ...

Session Will Discuss How Health Plans Can Begin Planning for Mandated Changes in Mental Health and Substance Abuse Care Regulations Hosted by MEDecision’s Vice President of Product Marketing Brian ...

FRISCO, Texas--(BUSINESS WIRE)--Magellan Healthcare Inc., the behavioral healthcare segment of Magellan Health, Inc., today announced that it has earned full URAC accreditation for Health Utilization ...

MCLEAN, Va., April 26, 2023 /PRNewswire/ -- The Virginia Department of Medical Assistance Services (DMAS) has awarded Keystone Peer Review Organization, LLC (Kepro), a subsidiary of CNSI, a $113 ...