CMS cracking down on UM: How 4 payers are preparing
With CMS-0057 on the horizon — and growing friction with providers and members — health plans know utilization management needs more than a tune-up. But fragmented systems, outdated policies and poor access to clinical data continue to slow progress.
In a Becker’s-hosted discussion, leaders from Health Care Service Corporation, EmblemHealth, Florida Blue and CareSource shared how they’re modernizing UM with automation, interoperability and provider engagement.
This whitepaper distills their strategies into clear, practical lessons for payer executives navigating regulatory change and operational strain.
Download to learn how to:
- Meet CMS-0057 requirements using real-time clinical data and interoperable systems
- Reduce provider abrasion and accelerate care
- Shift UM from an operational task to an experience that improves member trust and satisfaction
Please fill out the form to download the whitepaper.
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