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Best Utilization Management Software - Page 4

Emma Stein
ES
Researched and written by Emma Stein

Utilization management software provides hospitals and health care practices a process with which to evaluate health care services and procedures provided to patients to determine their medical necessity. Health care administrators depend on utilization management processes to ensure that their physicians are maintaining a high quality of care and administering effective treatments while minimizing costs. Utilization management review and determination can occur before (prospective utilization review), during (concurrent utilization review), or after (retrospective utilization review) patient treatment has been scheduled and provided; software supports action during any of those three stages. Additionally, utilization management software has the potential to better the working relationship between providers and payers. By leveraging patient data found in EHRs, health care providers can apply real-time data to the review process, adhere to regulations, and optimize revenue cycle management. Registered nurses equipped with utilization management certification, case managers, and physicians are the main players during the review process.

To qualify for inclusion in the Utilization Management category, a product must:

Set up trigger workflows
Automate approvals and authorizations of medical services and procedures
Simplify or automate reviews of medical services and procedures
Aggregate clinical and financial data across a health care organization
Integrate with EHRs or easily leverage EHR data to trigger relevant workflows
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Best Utilization Management Software At A Glance

Highest Performer:
Easiest to Use:
Top Trending:
Best Free Software:
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71 Listings in Utilization Management Available
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    LTC wireless nurse call system allows you to send and receive alerts and notifications, locate residents/staff/equipment, control access, and document tasks to provide quality care with increased spee

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • InSites Asset Management features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Year Founded
    2003
    HQ Location
    West Fargo, US
    LinkedIn® Page
    www.linkedin.com
    10 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

LTC wireless nurse call system allows you to send and receive alerts and notifications, locate residents/staff/equipment, control access, and document tasks to provide quality care with increased spee

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
InSites Asset Management features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
2003
HQ Location
West Fargo, US
LinkedIn® Page
www.linkedin.com
10 employees on LinkedIn®
0 ratings
Save to My Lists
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    The iSMAF software enables you to do your residents’ functional evaluations. Despite the fact that it is innovative, the iSMAF software is made-up of clinical and management tools, scientifically vali

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • iSMAF features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Seller
    Hopem
    Year Founded
    1997
    HQ Location
    Quebec, Quebec
    LinkedIn® Page
    www.linkedin.com
    4 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

The iSMAF software enables you to do your residents’ functional evaluations. Despite the fact that it is innovative, the iSMAF software is made-up of clinical and management tools, scientifically vali

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
iSMAF features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Seller
Hopem
Year Founded
1997
HQ Location
Quebec, Quebec
LinkedIn® Page
www.linkedin.com
4 employees on LinkedIn®

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  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    iTraycer is a comprehensive inventory management system designed to provide real-time medical device tracking, as well as biologics tracking.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • iTraycer features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Year Founded
    2009
    HQ Location
    Jacksonville, US
    Twitter
    @iTraycer
    473 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    10 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

iTraycer is a comprehensive inventory management system designed to provide real-time medical device tracking, as well as biologics tracking.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
iTraycer features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
2009
HQ Location
Jacksonville, US
Twitter
@iTraycer
473 Twitter followers
LinkedIn® Page
www.linkedin.com
10 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Jembi Health Systems (Jembi) is an African-based not-for-profit company based in South Africa focusing on the development of eHealth and health Information systems in developing countries. The idea fo

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Jembi Health Systems features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Seller
    Jembi
    Year Founded
    2009
    HQ Location
    Cape Town, ZA
    Twitter
    @jembi_hs
    983 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    96 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Jembi Health Systems (Jembi) is an African-based not-for-profit company based in South Africa focusing on the development of eHealth and health Information systems in developing countries. The idea fo

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Jembi Health Systems features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Seller
Jembi
Year Founded
2009
HQ Location
Cape Town, ZA
Twitter
@jembi_hs
983 Twitter followers
LinkedIn® Page
www.linkedin.com
96 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Jvion helps healthcare systems and providers prevent harm and lower costs through its AI-enabled prescriptive analytics solution. An industry first, the Jvion Machine™ goes beyond simple predictive an

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Jvion Core features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2013
    HQ Location
    Coppell, Texas, United States
    Twitter
    @LightbeamHealth
    3,581 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    171 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Jvion helps healthcare systems and providers prevent harm and lower costs through its AI-enabled prescriptive analytics solution. An industry first, the Jvion Machine™ goes beyond simple predictive an

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Jvion Core features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
2013
HQ Location
Coppell, Texas, United States
Twitter
@LightbeamHealth
3,581 Twitter followers
LinkedIn® Page
www.linkedin.com
171 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Lightbeam helps your care management operations by providing a custom model that fits your needs and strategy. Lightbeam provides a set of activities to improve patient care and reduce the need for co

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Lightbeam Care Team Extension Services features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2013
    HQ Location
    Coppell, Texas, United States
    Twitter
    @LightbeamHealth
    3,581 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    171 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Lightbeam helps your care management operations by providing a custom model that fits your needs and strategy. Lightbeam provides a set of activities to improve patient care and reduce the need for co

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Lightbeam Care Team Extension Services features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
2013
HQ Location
Coppell, Texas, United States
Twitter
@LightbeamHealth
3,581 Twitter followers
LinkedIn® Page
www.linkedin.com
171 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Logibec AI Readmission is an artificial intelligence solution that accurately determines the probability that an acute care patient will be readmitted within 45 days of discharge. Detecting patients a

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Logibec Readmission AI features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Year Founded
    1982
    HQ Location
    Montreal, CA
    LinkedIn® Page
    www.linkedin.com
    384 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Logibec AI Readmission is an artificial intelligence solution that accurately determines the probability that an acute care patient will be readmitted within 45 days of discharge. Detecting patients a

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Logibec Readmission AI features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
1982
HQ Location
Montreal, CA
LinkedIn® Page
www.linkedin.com
384 employees on LinkedIn®
0 ratings
Save to My Lists
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    The MCAP tool, Making Care Appropriate for Patients, exists to help our clients remain at the forefront of efficient and effective patient care. MCAP is a patient flow tool that identifies patients th

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • MCAP features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    Seller
    VitalHub
    Year Founded
    2015
    HQ Location
    Toronto, CA
    Twitter
    @VitalHubCorp
    839 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    286 employees on LinkedIn®
    Ownership
    TSE: VHI
Product Description
How are these determined?Information
This description is provided by the seller.

The MCAP tool, Making Care Appropriate for Patients, exists to help our clients remain at the forefront of efficient and effective patient care. MCAP is a patient flow tool that identifies patients th

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
MCAP features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Seller
VitalHub
Year Founded
2015
HQ Location
Toronto, CA
Twitter
@VitalHubCorp
839 Twitter followers
LinkedIn® Page
www.linkedin.com
286 employees on LinkedIn®
Ownership
TSE: VHI
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    AssureCare is a population health management company, committed to connecting care for payors, providers, and pharmacies. Our comprehensive Population Health Management Platform spans the entire care

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • MedCompass features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
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  • Seller Details
    HQ Location
    Cincinnati, Ohio, United States
    Twitter
    @AssureCareLLC
    303 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    414 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

AssureCare is a population health management company, committed to connecting care for payors, providers, and pharmacies. Our comprehensive Population Health Management Platform spans the entire care

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
MedCompass features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
HQ Location
Cincinnati, Ohio, United States
Twitter
@AssureCareLLC
303 Twitter followers
LinkedIn® Page
www.linkedin.com
414 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    The Medworxx Learning Management System (LMS) supports the development, management and delivery of classroom and online learning, with associated reporting and compliance tracking capabilities.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
    Expand/Collapse User Satisfaction
  • Medworxx features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Seller
    Medworxx
    HQ Location
    Lake Mary, Florida, United States
    LinkedIn® Page
    www.linkedin.com
    1,079 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

The Medworxx Learning Management System (LMS) supports the development, management and delivery of classroom and online learning, with associated reporting and compliance tracking capabilities.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Medworxx features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Seller
Medworxx
HQ Location
Lake Mary, Florida, United States
LinkedIn® Page
www.linkedin.com
1,079 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Envolve MSO services provide organizations with the strategies, people and processes necessary to provide value-based, affordable care and drive real healthcare transformation.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
    Expand/Collapse User Satisfaction
  • MSO Services features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    1984
    HQ Location
    N/A
    Twitter
    @EnvolveHealth
    295 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    247 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Envolve MSO services provide organizations with the strategies, people and processes necessary to provide value-based, affordable care and drive real healthcare transformation.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
MSO Services features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
1984
HQ Location
N/A
Twitter
@EnvolveHealth
295 Twitter followers
LinkedIn® Page
www.linkedin.com
247 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    MyOutcomes is a web-based clinical tool for improving outcomes and generating reports on client progress and program effectiveness.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
    Expand/Collapse User Satisfaction
  • MyOutcomes PRO features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    2006
    HQ Location
    Kelowna, CA
    Twitter
    @MyOutcomes
    1,530 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    14 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

MyOutcomes is a web-based clinical tool for improving outcomes and generating reports on client progress and program effectiveness.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
MyOutcomes PRO features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
2006
HQ Location
Kelowna, CA
Twitter
@MyOutcomes
1,530 Twitter followers
LinkedIn® Page
www.linkedin.com
14 employees on LinkedIn®
  • Overview
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  • User Satisfaction
    Expand/Collapse User Satisfaction
  • Seller Details
    Expand/Collapse Seller Details
  • Overview
    Expand/Collapse Overview
  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Nubsicare's PRM solution guides the patient through the healthcare journey, from before to after their time with the care team.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
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  • Nubsicare features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Seller
    Nubsicare
    Year Founded
    2012
    HQ Location
    Marietta, US
    Twitter
    @NubisCare
    1 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    1 employees on LinkedIn®
Product Description
How are these determined?Information
This description is provided by the seller.

Nubsicare's PRM solution guides the patient through the healthcare journey, from before to after their time with the care team.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Nubsicare features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Seller
Nubsicare
Year Founded
2012
HQ Location
Marietta, US
Twitter
@NubisCare
1 Twitter followers
LinkedIn® Page
www.linkedin.com
1 employees on LinkedIn®
  • Overview
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  • Product Description
    How are these determined?Information
    This description is provided by the seller.

    Orion Health’s Digital Care Record (DCR) provides an integrated platform that consolidates patient data across care settings, enabling enhanced care coordination and population health management.

    We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
    Industries
    No information available
    Market Segment
    No information available
  • User Satisfaction
    Expand/Collapse User Satisfaction
  • Orchestral Health Intelligence Platform features and usability ratings that predict user satisfaction
    0.0
    No information available
    0.0
    No information available
  • Seller Details
    Expand/Collapse Seller Details
  • Seller Details
    Year Founded
    1993
    HQ Location
    Auckland, Auckland, New Zealand
    Twitter
    @OrionHealth
    12,881 Twitter followers
    LinkedIn® Page
    www.linkedin.com
    714 employees on LinkedIn®
    Ownership
    ASX: OHE
Product Description
How are these determined?Information
This description is provided by the seller.

Orion Health’s Digital Care Record (DCR) provides an integrated platform that consolidates patient data across care settings, enabling enhanced care coordination and population health management.

We don't have enough data from reviews to share who uses this product. Leave a review to contribute, or learn more about review generation.
Industries
No information available
Market Segment
No information available
Orchestral Health Intelligence Platform features and usability ratings that predict user satisfaction
0.0
No information available
0.0
No information available
Seller Details
Year Founded
1993
HQ Location
Auckland, Auckland, New Zealand
Twitter
@OrionHealth
12,881 Twitter followers
LinkedIn® Page
www.linkedin.com
714 employees on LinkedIn®
Ownership
ASX: OHE