Real-World Data and Real-World Evidence (RWD/RWE) have been utilized not only for drug safety assessment but also for ...

Concurrent review is a utilization review process that occurs while a patient is actively receiving treatment, such as during a hospital stay. It evaluates the medical necessity and appropriateness of ...

Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask payors these 10 questions regarding utilization and management ...

PALM BEACH GARDENS, Fla.--(BUSINESS WIRE)--Dane Street is proud to announce its URAC accreditation for Independent Review Organization (IRO) and Workers’ Compensation Utilization Management (WCUM) ...

Colorado House Bill 25-1002, effective January 1, 2026, amends Colorado Revised Statutes § 10-16-104(5.5) to require health benefit plans to use nationally recognized, not-for-profit clinical criteria ...