Turning Retrospective Review Into a Competitive Advantage
In this Enlyte Envision podcast episode, host Tom Kerr interviews experts Roland Kratzer and Alex Rose about optimizing utilization review programs for auto casualty payers.
How a Large National Insurer Strengthened Utilization Review Oversight of FRPs in California
8 MIN READ
See how Enlyte helped a national insurer strengthen utilization review oversight for functional restoration programs in California, reducing unnecessary approvals and avoiding an estimated $2 million in potential outpatient spend.
Less Leakage, More Leverage: Reconnecting the P&C Cost Chain
4 MIN READ
Executive VP Dave Torrence explores how fragmented systems drive cost leakage in P&C claims, and how integrating clinical oversight, pharmacy management, payment integrity and network strategy can improve visibility, strengthen decisions and improve outcomes while reducing total claim spend.
Driving Surgical Cost Savings Through Expanded Utilization Review
4 MIN READ
Expanded utilization review helped a self-insured employer control rising surgical costs, reduce unnecessary procedures, and generate over $1M in savings while maintaining a two-day review turnaround.
Business Insurance Video: Comp Spotlight with Michele Hibbert
See Michele Hibbert break down the impact of new state legislation on AI-powered claims processes in this exclusive Business Insurance "Comp Spotlight" interview.
New York Provides Data-Backed Proof That Stronger Utilization Review is a Cost-Control Strategy
3 MIN READ
Read how New York's strategic utilization review expansion kept medical payments stable despite rising costs nationwide.
Utilization Review Benchmarking and Clinical Trigger Expansion Delivered 12.5x Results
3 MIN READ
Discover how large scale benchmarking helped drive 12.5x cost containment through smarter utilization management. See how data insights improved outcomes and reduced unnecessary spend.
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