Utilization Management Companies

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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Conifer Health Solutions

Conifer Health Solutions

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Min. Group Size

1,000 eligible

Lives Serviced

1,500,000

Average Cost

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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... Show More
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Quantum Health

Quantum Health

4.5 (1)
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Min. Group Size

1,000 eligible

Lives Serviced

2,700,000

Average Cost

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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... Show More
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Telligen

Telligen

5.0 (2)
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Min. Group Size

500 eligible

Lives Serviced

600,000

Average Cost

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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... Show More
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Personify Health

Personify Health

4.0 (98)
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Min. Group Size

1,000 eligible

Lives Serviced

-

Average Cost

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Personify Health’s URAC-accredited Utilization Management Department performs prior authorization/precertification reviews to ensure medical necessity. We offer a customizable prior authorization/precertification list that can be personalized to your clients’ needs.

Clinicians... Show More
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Wellworks For You

Wellworks For You

4.1 (39)
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Founded

2008-06-01

Employees

115

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About Wellworks For You

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. We recognize that healthy minds and healthy bodies are the catalyst to a successful working environment.

Corporate wellness programs have a proven track record of Return on Investment (ROI). The pitfall of many programs is that they are still one-dimensional, not personalized, and passive with minimal participation. The Wellworks For You Program commits to a strong focus... Show More
ActiveHealth Management

ActiveHealth Management

4.0 (1)
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Min. Group Size

1,500 eligible

Lives Serviced

3,800,000

Average Cost

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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 participants and their... Show More
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Carrot Fertility

Carrot Fertility

Reviews pending
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Min. Group Size

50 eligible

Lives Serviced

2,000,000

Average Cost

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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,... Show More
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MedWatch, LLC

MedWatch, LLC

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Min. Group Size

1 eligible

Lives Serviced

383,000

Average Cost

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Since 1988, MedWatch’s URAC-accredited Utilization Management has been continually evolving and provides a process that is both efficient and effective in identifying appropriateness of care and opportunities for significant cost savings. The precertification... Show More
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ClaimChoice Administrators

ClaimChoice Administrators

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-

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-

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ClaimChoice Utilization Management is designed to enhance healthcare outcomes, manage costs, and ensure the highest quality of care for patients. Our platform provides real-time insights and data-driven decision-making tools to streamline the utilization... Show More
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HealthCheck360

HealthCheck360

4.4 (29)
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Founded

1994

Employees

210

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About HealthCheck360

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 create a comprehensive program to fit your organization’s unique culture. We can even work with your brokers, third party administrator, insurance companies or other benefit provider for a complete integration of services. Show More
League

League

5.0 (1)
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Min. Group Size

100 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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Through partner(s). Show More
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Milu Health

Milu Health

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-

Lives Serviced

-

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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... Show More
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Sterling Wellness Solutions, L.L.C.

Sterling Wellness Solutions, L.L.C.

3.1 (6)
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Founded

2001

Employees

200

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About Sterling Wellness Solutions, L.L.C.

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, we work with organizations to develop strategies that inspire healthy change, maximize engagement, and transform company culture. Show More
AlbumHealth

AlbumHealth

Reviews pending
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Founded

2013

Employees

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Clients Your Size Clients Your Size

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About AlbumHealth

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, providers , and employers in the critical discussion around how to support the highest cost portion of their population. Show More
Corporate Care Management

Corporate Care Management

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Min. Group Size

-

Lives Serviced

-

Average Cost

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Corporate Care Management is URAC accredited in Health Utilization Management. Health Utilization Management (HUM) provided by CCM supports the delivery of quality medical care and patient safety by evaluating for medical necessity, appropriateness,... Show More
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Hines

Hines

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Founded

Employees

Funding Summary

Not Provided

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Sharecare

Sharecare

4.1 (5)
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Product Info

Min. Group Size

5,000 eligible

Lives Serviced

100,000

Average Cost

Average Cost is Locked

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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 eligibility... Show More
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PlanSource Benefits Administration, Inc.

PlanSource Benefits Administration, Inc.

3.2 (11)
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Founded

2008

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About PlanSource Benefits Administration, Inc.

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 commitment to creating wildly successful customers is why more than 5,000 employers and 7.5 million consumers trust PlanSource for their benefits. Show More
Accolade

Accolade

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Min. Group Size

500 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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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... Show More
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HealthWell Solutions

HealthWell Solutions

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Founded

2009

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

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About HealthWell Solutions

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 best fit for every group. The HealthWell Solutions team will design a customized plan that incorporates your existing resources, identifies needs for new programs and delivers the most innovative tools for comprehensive population health with superior service.

HealthWell Solution’s nationwide, credentialed staff implements high-touch programs that motivate behavior change while utilizing next-generation technology solutions to engage... Show More

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