Research and Innovation in Case Management: A Decade in Review (2016-2026)

Research and innovation are foundational to the transformation of professional case management and utilization review (CM/UR). Over the past decade, CM/UR has evolved significantly to address care complexity, workforce challenges, regulatory change, and administrative burden. Innovative workforce models, expanded community coordination, and advances in analytics, automation, artificial intelligence, and interoperability have improved efficiency, compliance, continuity of care, and patient outcomes while supporting value-based care. As regulatory requirements continue to evolve, sustained research and agile innovation remain essential to optimizing CM/UR delivery while maintaining a strong person-centered focus.