Quantum Health Utilization Management. Anthem will remain the administrator of Medical Please try aga
Anthem will remain the administrator of Medical Please try again. Pre-certification acts as an early touchpoint, enabling Quantum Health Oncology Solutions Quantum Health offers Premier Oncology, an end-to-end specialty condition management program for members battling cancer. A 2023 Quantum Health study of 1. * utilization management and case management If care providers have questions on an To learn more about how Quantum Health drives better benefits utilization and outcomes through a unique combination of integrated, in-house clinical expertise, healthcare navigation, and Our Clinical Specialty program, addressing diverse healthcare needs, engages experienced nurses in behavioral health, chronic condition management, high Quantum Health Complete provides self-insured employers with a comprehensive healthcare navigation and care coordination solution, delivering a best-in- class member experience. Quantum shall provide agreed Quantum Health offers exceptional experiences by understanding employee needs and emotions. Quantum Health ensures members get the right care at the right time, reducing Expert insights on managing rising specialty drug and GLP-1 costs with strategies like utilization management, site-of-care optimization, and member engagement. The Quantum cohesive model of BHM give the opportunity to better determine the depth of clinical services by tracking the level of care needed while monitoring Cut costs, not care Lowering healthcare costs shouldn’t mean sacrificing quality. Through a tech-enabled services model, the company (i) helps members understand and effectively utilize their healthcare benefits, (ii) performs A Quantum Health Solution Series Webinar Pushing Back Against Healthcare Inflation How navigation keeps claims costs under control Thursday, December 15 | 1-2 p. Carelon Medical Benefits Management – specialty pharmacy (oncology) Carelon Behavioral Health, Inc. Quantum Health’s new solution focuses on managing drug utilization patterns to align treatment with need, supporting employers in ensuring the Church Pension Group Services Corporation (“CPGSC”), doing business as The Episcopal Church Medical Trust, maintains a series of health and welfare plans (the “Plans”) for eligible employees of Our comprehensive pharmacy services are designed to help self-insured employers manage rising specialty drug costs. Are You a Provider? Please try again. Offering utilization management, site-of-care Furthermore, Quantum Health's "Clinical First™ model," with its in-house team of physicians, nurses, and pharmacists, provides a deeper level of Its specialty-pharmacy capability includes utilization management and a site-of-care program, combined with its in-house pharmacy services team Quantum shall review and approve/deny excess utilization requests and exception to Policy periodically with the Plan Administrator. We’re the only Quantum Health recently conducted a study of how its independent healthcare navigation and care coordination solution works to produce cost savings by guiding and informing members’ care The resulting impact of this proactive utilization management strategy can be significant. Enhance member engagement and satisfaction with Quantum Health's unparalleled stakeholder connection, ensuring superior care and Star Ratings advancement. If the problem persists, call (855) 649-3857. m. 8 million of its plan members across 200 employers demonstrated the Quantum Health’s new solution focuses on managing drug utilization patterns to align treatment with need, supporting employers in ensuring the Building on that foundation, the client leveraged our ability to optimize specialized health benefits to gain more value and impact from the Teladoc Health Diabetes Management solution. Employers can also opt to offer an Contact Quantum Health to learn more about healthcare navigation and how to get your own benefits navigation partner. Trusted by leading employers and health systems nationwide We serve as the benefits starting point, allowing easy access to in-network providers, coverage Welcome to the Quantum Health provider resource portal, where you can submit and view authorizations, access patient benefits, submit referrals, view claims and more. EST Join us for an in-depth look Healthcare navigation and care-coordination company Quantum Health has expanded its specialty pharmacy services with a new Premier Dublin, Ohio-based Quantum Health offers navigation and care coordination services for employers, including claims assistance, point solution referrals and utilization management. At Quantum Health, our clinical approach starts with Care Coordinators — Healthcare Warriors®, as we call them — who serve as a single point of contact Our innovative benefits solutions offer proven results and optimal health outcomes with the top healthcare navigation and care coordination services for self New solution leverages Quantum Health’s clinical expertise, health coaching and holistic care coordination combined with Vida Health’s evidence Quantum Health’s new solution focuses on managing drug utilization patterns to align treatment with need, supporting employers in ensuring the effective use of GLP-1s and other weight Effective August 1, 2023, Quantum Health will be the point of contact for review and submission of Medical Utilization Management prior authorizations. Meanwhile, the Quantum Health delivers utilization management through dedicated Pre-Certification and Utilization Review Nurses embedded in each Pod. Quantum Health’s new solution focuses on managing drug utilization patterns to align treatment with need, supporting employers in ensuring the effective. If the problem persists, call (833) 740-3117 If Quantum is associated with your medical insurance plan and you need authorization for treatment call our Quantum Review and Quantum Net team at 888-214-4001. Forgot Password? Forgot User ID? Quantum Health Complete offers top-quality healthcare navigation plus an additional tier of high-value services, like care coordination, clinical expertise and more. Quantum Health sets the standard for healthcare navigation, lowering costs, improving outcomes and simplifying the experience for everyone.