Your Gatekeeper to Appropriate Care
- URAC Accredited since 1997
- Maintains State Licensure in all states as required.
- Milliman Guidelines
- Experience & Expertise
- Continual Monitoring of Treatment Plan & Early Discharge Planning
Having URAC Accreditation and all required state licensures demonstrates our commitment to excellence and supports that the determinations we make are appropriate for quality, effectiveness, and cost of patient care.
A Higher Standard of Utilization Management
MedWatch’s team of experienced clinicians leverage our URAC Accreditation, licensure, and nationally recognized guidelines to improve patient care and provide early identification and risk mitigation for potentially high-cost events.
Addresses medical, surgical and behavioral health admissions, level of care, length of stay, including discharge planning.
Evaluates outpatient services, including surgical care and diagnostic tests for medical necessity and appropriateness of care and same day op services.
The Value of More
Additional programs are available within Utilization Management to mitigate risk and increase savings, helping to ensure members are receiving the most appropriate care at the right time, in the right place, for the right cost.
Explore MedWatch Services
With more than two dozen programs and services designed to mitigate risk and enhance clinical and financial outcomes, MedWatch offers truly comprehensive population health management. Click below to explore our other services.
Want to See More?
Request your own copy of our Services Overview!