On Friday, the healthcare behemoth released results of three highly anticipated external reviews that drilled down on a ...

SAN DIEGO, Dec. 16, 2025 /PRNewswire/ -- American Specialty Health's (ASH's) ongoing commitment to industry best practices on utilization management (UM) has led to joining more than 60 full-service ...

Apple Updates App Review Guidelines to Tighten AI Data Sharing Your email has been sent Apple just tightened its App Store rules, and AI developers will have to pay attention. The company has recently ...

Apple on Thursday introduced a new set of App Review Guidelines for developers, which now specifically state that apps must disclose and obtain users’ permission before sharing personal data with ...

Apple has updated its App Review Guidelines with multiple new rules, including one targeting the misleading use of other developers’ branding. Here are the details. From time to time, Apple updates ...

ABSTRACT: Introduction: Radiation pulmonary injury (RPI) is a prevalent complication in scenarios such as nuclear radiation disaster accidents, nuclear terror events ...

Q: Do you have any suggestions on how to make the Utilization Review and Triple Check processes more efficient? A: Implementing a robust Utilization Review and Triple Check process serves several ...

"Our research signals an urgent need to publish and standardize clinical guidelines for specialty drugs and for health plans to consider clinical guidelines prior to making stringent utilization ...

In 2024, the cost and utilization of specialty dermatology drugs significantly drove a 7% increase in pharmaceutical costs, according to a June 10 report from Navitus Health Solutions, a pharmacy ...

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 ...

Health systems and health insurance plans spend enormous sums of money battling over how to be paid fairly — and these battles have only intensified with the growth of Medicare Advantage plans, which ...