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HealthQuest understands the challenges of negotiating and integrating an array
of disciplines into cohesive programs that meet specific client needs, and
ultimately, specific patient needs. We leverage our core medical management
expertise to provide comprehensive, focused health management programs that
integrate "best in class" capabilities for every stage of life and every
healthcare event. This positions us to deliver innovative solutions that
include:
§ Utilization
Management - in- and out-patient settings (utilization/concurrent
review, discharge planning)
§ Case Management -
catastrophic, comprehensive, and high risk maternity
§
Specialty Review - Independent medical evaluations, grievances and
appeals, Act 6 PRO Review, and Act 68- Certified Review Entity (edit note: link
to attached specialty review document)
§ Wellness and Health Risk Assessment -
through "best of class" partners
§ Disease Management (via partnership
relationship)
§ Specialty management
- cancer, neonates, transplant, dialysis.
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