It’s safe to say that the provider and payer relationship can be contentious at times, often due to the subjectivity involved in the utilization review (UR) process. But what if it was possible for payers and providers to work hand-in-hand to reduce unnecessary administrative burdens and streamline utilization review, while also maintaining their commitment to high-quality patient care? That was the journey recently taken by Covenant Health and Humana—with help along the way from XSOLIS.


Source: Reframing the Payer-Provider Relationship