Market-Leading Resources
Clinical and AI Insights
Rotator Cuff Surgeries: Trends, Best Practices, and Conservative Care
Rotator cuff injuries are common. Surgeries to fix them? Even more so.
Utilization Management Reinvented
WNS-HealthHelp and Availity Team Up to Usher in the Future of UM
Uniting UM Expertise and Innovation
In today’s fast-evolving healthcare landscape, the need for faster approvals, reduced denials and seamless provider collaboration is more critical than ever.
Breaking the AI Denial Cycle
AI has received negative press for automating denials. Learn how AI can be channeled to rescue needed patient care.
AI-driven Innovations in UM Workflow
In the rapidly evolving healthcare industry, AI has emerged as a transformative force, particularly in streamlining UM.
Case Study | Regional Blues Plan
A HealthHelp client was experiencing provider dissatisfaction with their UM process along with a high denial rate.
Clinical Business Transformation Expansion
WNS-HealthHelp, clinical technology platform, is expanding its existing Utilization Management (UM) solution to include additional Business Transformation.
Navigating Genetic Testing Complexity
As the field continues to evolve, the complexity of Genetic Testing (GT) demands a closer look.
Technology Alliance Advances Interoperability
This partnership strengthens integration between EMR technology and prior authorization systems.
Exploring Gold Carding Alternatives
Payers and state legislatures have frequently turned to the practice of gold carding as a method of granting prior authorization. HealthHelp offers strategic…
Impacts of Incidental Imaging Findings
The intent in pursuing imaging, clinical, interventional, or surgical follow-up of incidental findings is to prevent harm through early diagnosis.
Redefining RT Prior Authorization
Care pathways provide a means to improve multidisciplinary communication and care planning, including primary and secondary/tertiary care.
InformedDNA Genetic Testing Partnership
This alliance extends the value of HealthHelp’s specialty benefits program portfolio with the addition of Genetic Testing Utilization Management
Peer Review and MSK Surgical Intervention
Peer review plays a pivotal role in modern healthcare by ensuring that surgical interventions are well-justified, comprehensively evaluated, and aligned with the patient’s best interests.
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