News & Events

Back-to-School Mental Health: How Health Plans Can Be a Lifeline for Families Lake Mary, FL– As backpacks are packed and buses roll out, one in five high school students is quietly battling a mental health crisis, according to the CDC. The back-to-school season, while filled with promise, often brings a wave of emotional challenges for students and families alike. Recent CDC data paints a sobering picture: 40% of high school students say they regularly feel sad or hopeless — a sign of widespread emotional distress. 22% consumed alcohol, and 10% used illegal substances in the past month — coping mechanisms…

Lake Mary, Florida, March 25, 2025 — MedWatch, a trusted leader in population health and medical management, is proud to announce the exceptional results of its high-dollar claims review services, which include dialysis, medical transport, high-cost pharmaceuticals, out-of-network repricing, and more. The company’s RN clinical review team recently delivered impressive savings by reviewing a dialysis claim that initially totaled $281,661.32. After billing appropriateness was assessed and the claim was repriced at 140% of Medicare, MedWatch saved the client 95.2%, reducing the amount owed from $281,661.32 to just $13,646.40, resulting in savings of $268,014.92. The claim involved a member who was receiving daily, at-home…

To everyone involved in managing benefit plans, from the plan sponsor to the healthcare decision-makers, to the brokers, and administrators, now more than ever is the time to demand more from your solution providers. The importance of managing high-dollar claims and high-risk members cannot be overstated when it comes to the financial stability of the plan and the protection of those members. These claims are complex, inflated, and often overrun with faulty billing practices and errors that don’t serve plans or their members well. But when you have a vendor partner working with you who understands the system and stands…

A Message from Sally‑Ann Polson, President & CEO As part of MedWatch’s 2025 vision, we are continuously innovating to enhance the care and support we provide to plans and their members. In line with this commitment, we’re excited to introduce two transformative programs now fully integrated into our Case Management platform: Medzown’s Advanced Clinical Trial Access for cancer and complex diseases, and Quantify Specialty Care’s High‑Cost Drug & Infusion Services. These programs go beyond being new offerings—they represent MedWatch’s commitment to the ongoing evolution of the comprehensive support already available through our Case Management. The integration is seamless, with minimal implementation requirements. By knowing how these new programs function,…

MyHealthGuide Source: MedWatch, 11/3/2024 In today’s complex healthcare landscape, Third-Party Administrators (TPAs) often face challenges with vendor fatigue, managing multiple point solutions and the associated costs, such as implementation and file feed fees, which can increase operational complexity. MedWatch offers a range of proven, seamlessly integrated solutions that support TPAs by reducing the need for multiple vendors, ultimately enhancing plan efficiency and member experience. With MedWatch’s in-house core services, which include Pathways Concierge Member Support & Advocacy, along with URAC-accredited Health Utilization Review, Case, and Disease Management, and proprietary technology, MedWatch has the ability to provide multiple solutions that are…

Lake Mary, FL – 06/12/2024 MedWatch, an industry leader in concierge member advocacy and medical cost containment, extends its heartfelt gratitude to our team members who participated in events supporting two vital causes this summer: The Charcot-Marie-Tooth Association (CMTA) virtual walk in May and The Trevor Project virtual walk in June. Named after the three doctors who first described it in 1886—Charcot, Marie, and Tooth—CMT is a hereditary peripheral neuropathy that affects the nerves controlling muscles. Despite the lack of a cure or treatment, the CMTA is relentlessly pushing for advancements through research and support services, offering hope and resources…

Lake Mary, Florida – During the 7/1 renewal season, MedWatch continues its commitment to streamline healthcare offerings for brokers, consultants, and administrators. Its proprietary technology and integrated solutions simplify service implementation and renewal processes, delivering tailored, high-quality care that maximizes clinical and financial outcomes for plans and plan members. “MedWatch has always been a leader in integrated solutions with services that fit perfectly in a ‘stacked’ format. What better way for a broker, consultant, or administrator to package services than with a single, reputable partner who already has these solutions seamlessly functioning together,” stated Tim Guzinski, Senior Vice President of…

Lake Mary, FL – Continuing their dedication to delivering high-quality and low-cost solutions that benefit employer driven health plans, MedWatch once again leads the industry with their comprehensive Dialysis Claim Savings Solution delivering fully defensible repriced dialysis claims at savings averaging 91% off of billed charges, and at a low flat rate fee. “It is not widely known that a plan often has the ability to carve out dialysis claims and reprice them with a more effective solution that will deliver greater savings at reduced costs.” stated Tim Guzinski, SVP of Marketing & Business Development with MedWatch.  “At MedWatch, we…