Utilization Management (UM)

Avidyn Health


Utilization management is the first line of defense in effectively managing health care costs and is effective only when chronic and catastrophic conditions are consistently identified and addressed appropriately. This is the guiding principle behind our early identification and treatment solutions.

Avidyn Health's utilization management solution is more than a simple yes/no decision. Our dedicated professionals utilize a state-of-the-art managed care system along with sophisticated medical guidelines to determine the appropriateness of medical services as well as the delivery of care setting and length of stay. Each case is closely monitored along with concurrent review in order to ensure that every level of care is appropriate.

We offer integrated, 'turn key' solutions as well as flexible, tailored solutions that meet customer’s special needs. Our solutions provide full utilization management along with timely management reports reflecting the utilization experience of participants and practice patterns of physicians and hospitals. Customers and their members consistently benefit from the quality coordinated care, increased cost savings, enhanced satisfaction.

   
   

 




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