Expert Insight

Improve your UM strategy with next-generation care management

Learn how health plans are shifting toward impact-driven utilization management strategies, increased collaboration with providers, and integration of advanced technology to control costs.

Recent utilization spikes and growing drug costs have challenged health plans’ ability to manage clinical costs. To better understand how health plan leaders are responding, Advisory Board interviewed dozens of health plan chief medical officers and clinical leaders about the initiatives underway at their organizations. Health plans leaders consistently articulated a set of 12 strategies being leveraged at their organizations. We then asked the leaders to map those strategies to the matrix below, reflecting resource intensity, impact, and timeline.


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AFTER YOU READ THIS
  • You'll understand why health plans prioritize utilization management for cost containment.
  • You'll learn how to improve current utilization management programs.
  • You'll understand why more investment in care management is necessary.
  • You'll know how to run rigorous care management pilots.

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