Care and Utilization Management Services
Cost Effective Care Management Services
Today's employers are increasingly aware of the budgetary impact that providing employee health benefits plays on their overall corporate bottom line. Balancing quality comprehensive coverage against rising premiums that result from increased utilization and medical expenses can be a formidable task. At Vale-U-Health, we can help by managing your plan benefits with innovative care management processes and services.
We are a premier case management company, servicing self-insured employers, third party administrators and insurance providers.
Using an integrated medical management approach, we provide Utilization Review, Case Management, Disease State Management and Peer Review. Our overall program focuses on clinical quality review for selected inpatient and outpatient services that evaluate medical necessity and appropriateness of care. Key components of our program's success include:
With over 15 years of managed care experience, our team of veteran Physician Medical Directors, Utilization Review/Case Management Nurses and Quality Improvement professionals follow nationally-recognized industry standards for delivery of care, outcomes management, benchmarking, quality improvement and provider profiling. Our premier services include:
We are committed to helping you control your health
care costs by creating cost containment strategies and solutions that
will work for you and your employees. Timely analysis, dedicated real
time support and the flexibility to customize a medical management program
tailored to your needs, are the principles of our care and utilization management services.
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