58H - Case Study: A Health System's Success Through Centralizing Utilization Management

Tuesday, March 21

3:15–4:15 p.m.

A large health system with over 20 acute hospitals is well on its way to achieving its goal of exception-based utilization management by centralizing its utilization review program.

Clinical staff are practicing at the top of their licenses, and time and expertise are redirected to complex cases and discharge planning. Join this session to hear from the utilization management leadership as they share how process changes paired with advanced technology, such as AI-driven medical review automation, continues to drive operational efficiency with a remote workforce.

Learning Objectives

• Summarize benefits and best practices for implementing a centralized, exception-based utilization management program.
• Strengthen relationships with payers and optimize UM resources so that time and expertise are fully leveraged.