Our continuum of eye health solutions helps ensure quality and appropriateness of care. We deliver cost efficiencies through our medical management programs, which include a highly effective combination of prior authorization and prospective claims review that typically reduces medical eye-related costs between 15 and 17 percent. Our solutions include:
- Evidence-based guidelines to ensure medical/surgical services are performed when medically necessary
- Eye-specific claims review/editing techniques that eliminate unnecessary or duplicative diagnostic procedures
Identification of drugs that provide the highest combination of efficacy and cost containment.