New Versant Health White Paper: The Benefits of True Medical Management

BALTIMORE, MD, May 31, 2019 – In managed care, medical management has traditionally meant working to determine best practices and services to improve both quality and outcomes. However, over the last decade or so, this term is being used more and more loosely and has been watered down at best.

The new Versant Health white paper—The benefits of true utilization management—discusses what medical management used to mean, how the term has become widely used and loosely interpreted, and what it means to truly provide medical (or utilization) management.

Today, medical management can mean anything from true utilization management, the purest definition, to pre- and/or post-claim submission, steerage, or the ‘gatekeeper’ model,” explains Elizabeth Klunk, RN, BSN, CCM-R, Senior Vice President at Versant Health, and author of the white paper. “The result is a very common term that no longer lives up to its original definition.”

Versant Health believes true utilization management is a critical part of the managed care process. It helps support both members and providers efficiently and effectively by providing:

  • Continuity of care
  • Single source administration
  • Peer communication
  • Procedural consistency
  • Evidence-based medical policy criteria application
  • Medical claims review
  • Seamless intra-practice care coordination

Learn more about what utilization management looks like in action. Download The benefits of true utilization management white paper from the Versant Health website today.

About Versant Health

Versant Health, Inc., part of the MetLife family of companies, is one of the nation’s leading administrators of managed vision care, serving 35 million of our client’s members nationwide. Our purpose is to make healthy vision a reality for everyone by improving access to care and education in the communities we serve. Fueled by our mission to improve members’ lives with easy-to-use vision benefits rooted in choice, value, and care, Versant Health believes that everyone has the power to become anything they set their sights on. Contact a Versant Health representative for information about our products and services.
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