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Utilization Management Is Broken–Fixing It Requires A New Business Model

By Forbes  
   February 25, 2025

Much of the dysfunction in healthcare stems from misaligned incentives and a lack of transparency. Insurers, in their effort to control costs, have prioritized short-term denials over long-term value and positive health outcomes, undermining their own credibility while failing to promote their own customers’ well-being.

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