
Caqh
Delegated Management Vendors in Utilization Management
Pages
3
Time to read
5 mins
Publication
Language
English

Pages
3
Time to read
5 mins
Publication
Language
English
This analytical report explores the delegation of utilization management functions by health plans to specialized vendors. It highlights survey findings on interactions between plans and providers, the types of services delegated, and the methods used for information exchange. The report emphasizes the need for automation to improve efficiency and reduce administrative burdens in healthcare operations.