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.