High-Cost Treatments Demand a Stronger UR Lens

June 12, 2026

High-cost treatment requests demand more than a checklist. Learn how consultative utilization review helps payers make timely, evidence-based and defensible decisions.

Complex Claims Need More Than a UR Determination

May 29, 2026

Complex claims require more than a utilization review determination. Learn how connecting UR with case management, pharmacy, peer review and clinical oversight helps claims teams identify risks, remove barriers and improve outcomes.

Turning Retrospective Review Into a Competitive Advantage

May 26, 2026

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

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

March 16, 2026

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

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.