Payers’ plans waste millions reviewing utilization management (UM) requests, many of which are still submitted and processed manually. ZS’s research suggests about 80% of UM requests have no ROI. The UM process also creates provider abrasion and delays care for members. UM is ripe for disruption; change is long overdue.
Imagine a future where payers automatically process UM requests. As soon as they do, dashboards automatically update to inform leadership of key KPIs. This is just one example of the promise of UM’s future. In this on-demand webinar, Vikas Garg and Vimbai Mudimu, leaders in ZS’s health plan and provider practice, and Sheryl Markowitz, experienced healthcare leader and former senior vice president of clinical operations at Healthfirst, discuss how a UM transformation is worth striving toward.
- How the industry is taking on the UM transformation challenge
- The capabilities payers need to succeed in this transformation journey
- Industry best practices to drive change