Magnolia-Healthcare-Partners

Solutions

what we offer

Here are the comprehensive services we offer to help you manage healthcare risk and optimize costs.

Medical Risk Review Services

Is your organization identifying potential medical risks that can escalate in cost?

Our Medical Risk Review Services are our specialty. We provide a detailed, unbiased assessment of medical risk for stop loss, reinsurers, and employer-sponsored/fully insured products. Our clinical experts review medical and pharmacy claims data, uncovering key cost drivers to provide risk and cost projections that help protect your bottom line and find opportunities for savings. Our healthcare specialists forecast risk and project costs using data-driven methods that assist in safeguarding your bottom line. Trust Magnolia Healthcare Partners to provide professional analysis and workable proactive solutions.

Medical Necessity Reviews

Medical necessity reviews for services outside the utilization review process provide clinically driven recommendations of medical necessity to clients. We offer a proactive review of medical necessity based on nationally recognized guidelines and standards of care. Every case reviewed assesses whether the documentation supports patient diagnosis and treatment decisions. Our services ensure clinically sound patient care while safeguarding against unnecessary treatment, cost, and potential risk. 

Managed Care Consulting

Our Managed Care Consulting services are meant to improve your approach to healthcare management. Having more than 20 years of experience, we provide professional advice in several fields, including clinical program development, population health and disease management, utilization management, audit and accreditation, and cost containment solutions. Our Professional Managed Care Consulting services center on developing custom solutions that meet the particular difficulties experienced by healthcare companies. As a leading Managed Care Advisor, we provide strategic insights and practical advice to enhance clinical program results and simplify processes. Our knowledge guarantees that your managed care programs follow the best standards and provide quantifiable outcomes. Our Managed Care Advisor helps your company reach its objectives by developing creative and efficient programs and services that promote improved patient outcomes and cost-effectiveness.

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