Utilization management companies manage the cost of care, particularly in healthcare, evaluating the medical necessity, appropriateness, and efficiency of healthcare services.
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Utilization Management Companies Q3 2024Q3 July 2024: Winners
List of the top 4 Utilization Management Companies in Shortlister as of July 2024, presented in the order they appear in the full Vendor Listing tab.
Our Utilization Management program is delivered by licensed Utilization Management Nurses and positions our clients to not only focus on cost containment, but also their members’ access to the right care, in the right setting, at the right time. Our holistic... View Full Profile
The healthcare environment is complex, and determining what is covered, as well as how best to adhere to a treatment plan, can be challenging for consumers. Quantum Health offers utilization management (UM) as part of its core care coordination and navigation ... View Full Profile
Telligen's Utilization Management program makes sure your members get the evidence-based medical care they need. Telligen's utilization management program is designed to: -Ensure high quality care is delivered to those who medically need it. -Eliminate ... View Full Profile
ActiveHealth’s Utilization Management program underscores the importance of providing evidence-based healthcare services designed to safeguard optimal health outcomes while controlling costs. Our staff of registered nurses and physicians support both ... View Full Profile
Wellworks For You provides wellness services to companies of all sizes, governments, resellers, and individuals throughout the world. Wellworks For You was created as a vehicle to assist employers in designing and implementing a comprehensive wellness program... View Full Profile
Carrot does not offer traditional utilization management (UM) services. The Carrot benefit was designed with inclusivity at its core, allowing all access to the benefit regardless of age, race, income, sex, sexual orientation, gender identity, marital status, ... View Full Profile
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At HealthCheck360, we turn our passion into your program. We’re leaders in population health management and well-being solutions. Our services are like a choose your own adventure book. Select the options you need to fill gaps in your current benefits or ... View Full Profile
Established in 1988, MedWatch is a proven industry leader providing population health management and cost containment services nationwide to a wide variety of clients including TPAs, MGUs, stop loss carriers, employers, schools, hospital systems, Taft Hartley ... View Full Profile
Milu's BenefitMatcher product identifies opportunities for employees to utilize existing employee benefits & notifies them in real time. Members will be notified when the opportunity to utilize a potential benefit is detected in their EHR data. Milu offers ... View Full Profile
PlanSource automates and streamlines every aspect of employee benefits programs, so HR teams can spend less time on ben admin tasks and more time where it really matters. Our powerful platform configurability, strong industry partnerships and relentless ... View Full Profile
SentryHealth is a clinical-first care navigation company that combines data science, technology, and an experienced care team to match members with the best available health care. It blends expert guidance with personalized care plans, empowering members to ... View Full Profile
Our mission: Sterling Wellness Solutions is committed to positively affecting the health and wellbeing of workplace populations to impact the productivity and success of our client companies. As the friendliest, most dedicated partner in workplace wellbeing, ... View Full Profile
Album's vision has always been to support people with chronic disease by changing their behavior. Supported by over a decade of research and clinical outcomes, we set out to prove it in a large employer setting in 2015.....and did. Now we're engaging payers, ... View Full Profile
Sharecare offers Utilization Management through our Clinical Advocacy program. We partner with American Health (AHH) for utilization management. AHH's URAC-accredited Utilization Management program is based on: timely review and determination of clinical ... View Full Profile
WINFertility specializes in fertility and family wellbeing management, offering a comprehensive care management model which combines all aspects of medical and pharmacy infertility and family building care management. Treatment solutions can be delivered using... View Full Profile
Accolade is the single point of contact for both members and providers. We support electronic or telephonic submission of medical prior authorizations or pre-certifications. The complete Utilization Management (UM) process includes precertification, continued ... View Full Profile
Grokker is a global wellness vehicle that fuels wellbeing in emotional, financial, physical, and social health. We are the engine behind today's most successful US-based, and Global companies. Our patented visual experiences offer your client's employees deep ... View Full Profile
HealthWell Solutions is a health management company that provides customized, evidence-based solutions to drive successful health outcomes. We start by taking the time to get to know our clients and their unique needs. We believe that no single solution is the... View Full Profile
