Payer and Provider Solutions to Utilization Management Challenges in Rare Hematologic Cancers    The American Journal of Managed Care, April 2023   Utilization management (UM) requirements can sometimes delay access to therapies for rare
Vivian T.E. Tar Vivian T.E. Tar

Utilization management (UM) requirements often delay access to therapies for rare hematologic cancers. In a payer–provider roundtable, experts discussed practical solutions, including guideline-concordant ePAs, expedited pathways, use of real-world evidence, “gold carding” for trusted providers, value-based agreements, and stronger collaboration between payers and providers to ensure timely access to care.

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