Most health systems don't have a UM system. They have four disconnected teams doing four different reviews — utilization review, physician second-level review, payor peer-to-peer, and clinical appeals — with zero shared feedback loop.
R1 fixes that with Phare Utilization Management, the latest expansion to Phare, healthcare’s first revenue operating system (Phare OS).
Check out my deep dive to see how Phare UM is delivering early results like first-level reviews in under four minutes, half resolved without a human touching them:
Written in collaboration with R1 but, as always, 100% my take.