Top 45 Utilization Management Software SaaS Companies in May 2026
As of May 2026, there are 45 SaaS companies in Utilization Management Software. They have combined revenues of $1.8B and employ 14K people. They have raised $1.3B and serve 1.1K customers combined.
Utilization Management Software (UMS) is designed to streamline the review and approval processes for healthcare services, ensuring that treatment choices are necessary, appropriate, and efficient. Primarily used by healthcare providers, payers, and case management teams, UMS helps prioritize care based on clinical urgency, manage approvals and communications, and analyze utilization patterns to prevent overuse or underuse of healthcare services.
Typical features of UMS include automated authorization workflows, real-time case tracking, data analytics for utilization patterns, and integrated communication tools for liaising with members and providers. The software plays a critical role in enhancing patient care while improving operational efficiency, making it an essential tool for healthcare organizations looking to optimize resource utilization and manage costs effectively.
The common user personas include healthcare administrators, case managers, and clinical staff who require real-time data and insights to make informed decisions. UMS is fundamental for organizations focused on ensuring quality care delivery while simultaneously managing costs and compliance with healthcare regulations.
Developer of a SaaS-based healthcare information technology platform designed to treat patients with any kind of chronic illness. The company's platform helps doctors to monitor patients and intervene remotely with customized messages delivered through a range of communications tools including cell phones, landlines, text messaging and the Internet, so as to ensure them adhere to prescribed care plans, enabling healthcare professionals to monitor and manage their patients' conditions through the patients' own mobile phones.
Developer of a cloud-based population health and care management platform designed to provide integrated value-based care. The company's SaaS platform service features customizable tools to the payer and provider markets, including person-centered care/case management, disease management, utilization management, interdisciplinary collaborative workflows, broad-spectrum interoperability, patient engagement and configurable analytics and reporting, enabling healthcare organizations to achieve enhanced outcomes while maximizing efficiency, improving transparency and lowering costs.
Developer of a clinical logistics automation platform for hospitals and clinics. The company's SaaS platform analyzes data from clinical systems, including EHR, CPOE, LIS, RIS, and ADT systems, along with RTLS tracking devices, to facilitate patient flow through the hospital, enabling healthcare organizations to optimize their staff and asset utilization to prevent bottlenecks, reduce wait times and improve throughput, while increasing patient and staff satisfaction.
Salud a un Clic es una empresa que surge el 9 de marzo del 2011, teniendo como sedes principales San José de Costa Rica y Madrid, España. Nace como iniciativa de un grupo de profesionales que percibe la necesidad de mejorar las opciones para acceder a los servicios de salud privada.
- Misión: Mejorar el acceso a la salud y el bienestar de las personas que no pueden esperar.
- Visión: Ser la plataforma de referencia para el acceso a servicios de salud y bienestar de alta calidad.
- Nuestro principal objetivo es aumentar la eficacia, rapidez y sencillez de acceder a servicios de salud.
About MyOutcomes®
For over 20 years, MyOutcomes® has been at the forefront of innovation in applied behavioral sciences, developing intuitive, evidence-based tools that help mental health professionals deliver better care.
In 2008, we pioneered the first web-based version of the Outcome Rating Scale (ORS) and Session Rating Scale (SRS)—validated tools developed by Dr. Scott D. Miller and the ICCE—to support the real-time monitoring and reporting of behavioral health services. Our mission has always been clear: to empower clinicians with practical, effective tools that improve client engagement, reduce early dropout, and increase positive outcomes.
MyOutcomes® combines advanced reporting metrics, eLearning modules, and outcome-tracking technology into one user-friendly platform. It is used worldwide in diverse clinical settings—including private practices, government-funded agencies, educational institutions, and divisions of the U.S. military.
We continue to lead the way in Feedback-Informed Treatment (FIT), helping organizations translate client feedback into meaningful clinical improvements and measurable success.
Intelligent InSites improves healthcare operations with location-based software and services.
We work with our customers to decrease patient cycle time and wait time, increase asset and facility utilization, and improve satisfaction for staff and patients in clinics, acute care facilities and health delivery networks.
Automatically captured location data from RTLS, RFID and other locating technologies informs in-the-moment decisions, automates workflows and provides advanced reporting used to drive continuous improvement.
Revenue
$1.1M
Customers
-
Year founded
2003
Funding
-
Team size
10
Growth
-
Inclusion Criteria
- Must facilitate the review process for healthcare service authorizations.
- Should provide real-time analytics on patient utilization data.
- Must support automated workflows for handling authorization requests.
- Should enhance communication between providers and patients regarding care needs.
- Must assist with identifying overutilization or underutilization of services.
- Not just focused on billing; must also evaluate clinical necessity and appropriateness.
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