Streamlining Utilization Reviews to Reduce Costs
Reducing healthcare costs and improving patient care are top priorities for healthcare organizations today. AllMed offers Prior Authorization reviews that span all three types of utilization reviews to help organizations streamline their processes and achieve these goals.
Our team of U.S. licensed nurse and physician reviewers has the clinical expertise and in-depth knowledge to complete all utilization reviews, including prospective, concurrent, and retrospective reviews. We review both non-specialty and specialty-matched cases where our clients observe high utilization of services.
At AllMed, we pay close attention to the nuances and human implications of each case, recognizing that each patient is unique and their care should be treated as such. Our team works closely with our clients to deliver high-quality, evidence-based reviews that are tailored to meet their specific needs.
We understand that healthcare organizations are under significant pressure to optimize their resources, which is why we offer our services seven (7) days a week, including holiday coverage. Our flexible and reliable approach allows our clients to focus on other ways to improve member care while we take care of the utilization review process.
Partnering with AllMed for utilization reviews can also help organizations reduce costs by transitioning to a variable expense model instead of a fixed one. This approach means that expenses associated with utilization review activities become variable based on caseload instead of remaining fixed.
In addition, by outsourcing the utilization review process to AllMed, organizations can free up in-house Medical Director resources to focus on strategic, value-added activities. Our team of experts is equipped to handle changing medical review caseloads and volume fluctuations, so organizations can trust that we will deliver the highest quality determinations and strict adherence to turnaround times.
In short, AllMed offers a comprehensive solution for healthcare organizations looking to streamline their utilization review processes, reduce costs, and improve patient care. Our team of experts delivers high-quality, evidence-based reviews tailored to meet the unique needs of our clients. With our flexible and reliable approach, we help organizations optimize their resources and focus on what matters most – providing the best possible care to their patients.
Specialty-Matched Prior Authorizations
Draw on specialized expertise for standard of care and complex procedures to minimize downstream appeals and costs.
Superior Quality That Makes a Difference
All of our services are deployed through PeerPoint, AllMed’s advanced medical review portal, which embeds healthcare intelligence and automation tools that produce the highest quality reviews at industry-leading turnaround times and costs.
But what makes us different is our people. Our commitment to consistently exceeding our clients’ expectations through everything we do, is why AllMed’s clients remain loyal partners, year-after year. We take special care to recruit the highest quality talent as well as train, grow, and engage them in our Lean management system. As a values-based company that puts culture first, our employees care deeply about each member’s health and about delivering the highest quality care.
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