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 2023Q3 September 2023: Winners
List of the top 7 Utilization Management Companies in Shortlister as of September 2023, presented in the order they appear in the full Vendor Listing tab.
Our advocacy-driven utilization management program can help clients lower health care costs, improve health outcomes and increase member satisfaction. When you work with us, you can: • Reduce unnecessary utilization - Practitioners can serve differing ... View Full Profile
Magellan Healthcare, Inc. is a national behavioral and specialty health company and a wholly owned subsidiary of Magellan Health, Inc., which is owned by Centene Corporation, a publicly traded Fortune 25 company (New York Stock Exchange: CNC). Headquartered in... View Full Profile
Conifer Value-Based Care LLC (Conifer VBC) provides Population Health and Care Management services including Personal Health Management, Case Management, Disease Management, Transitions of Care, and Utilization Management services. Conifer VBC also provides ... View Full Profile
Founded in 1993 as a privately held company, American Health Holding provides comprehensive, integrated health management solutions through a team of highly qualified physicians, registered nurses and social workers with the training and tools to impact ... 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
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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
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
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
MOBE® is a health and financial outcomes company. Using advanced analytics, we identify populations where we can make a real difference in both individual health status and expense reduction for our clients. We improve the health of this population by ... 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
WINFertility specializes in fertility 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 WIN’s provider ... View Full Profile
Privia Health is a national medical group that supports employers with a Physician-Led Platform which utilizes the trusted employee-physician relationship to derive higher employee engagement in health management programs and tailors virtual capabilities 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
One Vendor. Many Solutions. Custom Programs. • Proven Results - as a leader in the wellness industry for two decades we provide measurable outcomes to organizations across the country. • Dedicated Account Team - our team is an extension of your team - ... 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
Since 2005, OnSite Health has been the on-site health care provider of choice for nearly 200 employers from all categories of industry to enable and maintain a healthier and more productive workforce, mitigate costly insurance claims, aid in early disease ... View Full Profile
Health Solutions’ passion is our participants. We want them to be healthier and more productive—so they can live their best life. Our clinical pharmacists and health educators provide one-on-one health coaching for participants who are working to maintain... View Full Profile
