Intelligent Utilization

At MedSolutions, we are redefining utilization management to encompass and employ expanded data intelligence, innovative neural net predictive intelligence and deep clinical expertise. We call this new solution Intelligent Utilization. We achieve Intelligent Utilization by leveraging extensive data across our industry leading predictive intelligence technology to rapidly assess appropriateness of ordering patterns by individual physician and specialty. We couple that with evidence-based guidelines, clinical expertise, patient-centered and outcomes-focused medical review, user-friendly web technology and advanced analytics. Applied to all of our utilization management programs, MedSolutions’ Intelligent Utilization:

• Delivers a consistent, standardized process
• Minimizes provider disruption and enhance ease of use
• Enhances detection of inappropriate studies and outliers
• Rewards best providers for clinical accuracy
• Protects patients from unnecessary utilization and associated risk
• Delivers substantial cost savings for payors

Intelligent Utilization now extends beyond advanced diagnostic imaging to other areas of medicine, including oncology, cardiology, ER and ultrasound. Through our independently validated savings methodology, we conservatively estimate that payors can expect to realize savings of $7.45 PMPM.

When Intelligent Utilization is combined with PremerusSM Diagnostic Accuracy, payors can expect to realize conservative savings of $12 PMPM.

MedSolutions’ Intelligent Utilization can help reduce unnecessary healthcare cost and improve quality of care with high provider satisfaction. Contact us today for more information.