How We Support Utilization Management
Success in value-based care depends on directing necessary care while eliminating care that is inefficient, redundant or unnecessary. Plans are looking at digital transformation of their current operations to meet quality and cost goals. Apixio’s utilization management solution addresses the administrative burden, cost, and timeliness for human review for prior authorization. By utilizing AI within the prior authorization workflow, plans can operate with increased speed and efficiency, deliver more timely care, and reduce operational costs.
Why Plans Choose Our Utilization Management Solutions
Make prior authorization decisions in seconds, not days.
Generate decisions based upon your organization’s past data and decisions.
Reduce manual reviews by up to 50%.
Enhance Care Delivery
Enable providers to deliver care in a timely manner.
Our Utilization Management Solutions
Apicare AuthAdvisor™ generates predictive decisions based on Apixio’s industry-leading AI. Taking historical administrative and decision data, our solution is able to approve requests in seconds or escalate for clinical review.