Breaking down silos in healthcare utilization management

Do your physicians consistently assign the appropriate level of care for their patients? Do they have support from robust utilization management and physician adviser programs to assist with level-of-care review and education? Does your utilization management leadership team have the appropriate tools to monitor its team’s success? Do you know how these decisions are affecting your system’s financial outcomes? Too often, poor communication and a siloed approach across departments can result in billing issues, coding errors, and revenue cycle or forecasting challenges that have ripple effects throughout the organization.

If your team is still operating with the same utilization and care management strategy from years past, then you should attend this webinar to learn what has changed and how leading organizations are adapting to today’s regulatory and reimbursement environment.

After attending this webinar, you should be able to:

• Outline the role of utilization and care management in supporting physicians’ decisions on appropriate levels of patient care
• Describe the organizational structure leading institutions are using to break down barriers to more effective and efficient utilization and care management
• Identify key performance indicators, trends, and data-driven metrics used to evaluate high- and low-performing processes

Today’s patient-centered approach to care requires the integration of providers, utilization management nurses, revenue cycle analysts, operational leaders, IT resources, and more to deliver successful outcomes. Join us to learn how leading organizations use enhanced utilization and care management strategies to benefit those they serve.