AI can transform utilization management — but only when it is built into the decisions and workflows that determine how cases are reviewed, prioritized and supported throughout the patient stay.
Building on the session “”Beyond the Worklist: Architecting AI-Enabled Utilization Management”” at Becker’s 11th Annual IT + Revenue Cycle Conference, this webinar explores how health systems can move from concept to practice. Clinical, product and health system leaders will discuss how continuous case analysis, payer-specific intelligence and human expertise work together to identify risk earlier and support more timely, defensible action.
The session examines workflow design, data readiness, explainability, human oversight, organizational calibration and adoption.
You’ll learn:
- How AI can support UM workflows
- Approaches to continuous case review and earlier risk identification
- The roles of data, clinical expertise and human oversight in AI-enabled UM
- How to assess organizational readiness for a more connected UM operating model