Spending in 2023 and 2024 increased by a similar percent, as increased demand for healthcare influenced this two-year trend.

States with Medicaid expansions spend more per enrollee overall than nonexpansion states, and nearly half of expansion states’ enrollees have a chronic condition, a May 28 KFF Health News report found ...

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 administrative burden of utilization review processes like prior authorizations and concurrent review has long been a thorn in the side of healthcare providers. While prior authorizations have ...