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For many health systems, utilization management (UM) has long been a functional necessity, but rarely a strategic priority. Originally designed to ensure clinical appropriateness and support payer requirements, UM often grew up within hospital walls, shaped by local workflows and embedded within broader care management structures.

House passes Medicaid cuts, FDA changes Covid booster approval guidance, former President Biden diagnosed with prostate cancer.

This week’s graphic highlights Vizient Vulnerability Index (VVI) and procedure utilization data to show how utilization differs when certain socioeconomic factors are considered.

High-performing organizations know that sustainable safety around infection control is not achieved through compliance alone, but through a deep-rooted culture of vigilance, ownership, and continuous improvement. That culture starts with leadership commitment.

As advanced practice providers represent a growing percentage of the clinical workforce, health systems must ensure that APPs are being deployed in ways that enable the physicians they work with to operate at the top of their potential.

Trump administration releases 2026 budget, President Trump to boost domestic pharmaceutical manufacturing, Rite Aid declares bankruptcy again.

This week’s graphic illustrates how Epic has continued to expand its lead in the electronic health record (EHR) market over its rival Oracle Health, which acquired Cerner in 2022.

Why are hospitals unable to efficiently fill their appointment slots, even in the face of very significant demand? Lessons from the airlines on how they fill seats can help provide solutions to this problem.

Daily patient volumes decreased due to declines in flu and other seasonal infectious diseases, contributing to a decline in hospital care expenses despite elevated overall expenses.

Two out of every five healthcare providers—just over 40%—in the United States are now non-physician, advanced practice providers.

Hospitals continue to lose significant money on employing physicians, and the original goals of care coordination and efficiency haven't materialized. Rising costs, declining reimbursement advantages, overutilization of low-margin services and administrative burdens are factors behind these unsustainable losses.

Supreme Court rules in favor of HHS in DSH payment case, vaccine testing to change, Aetna to exit ACA marketplace.