Medical Insurance Consulting Group, Inc
Clinical Integration & Medical Director Support Services
The delivery of healthcare has changed rapidly.
From the patient’s perspective, services are provided by an increasingly complex array of providers ranging from physician’s assistants, nurse practitioners, and a variety of mid-level providers to primary care physicians, specialists, hospitalists, and a variety of ancillary personnel (occupational therapists, physical therapists, speech therapists, physiatrists, alternative medicine practitioners…). On the administrative and health plan side, care is overseen by a variety of disease management, preventative care, lifestyle management and utilization review and case management vendors that are often procured as stand-alone programs with little if any clinical integration and poor coordination and communication between the various vendors and programs being the norm. While many Plans retain the services of benefit and legal consultants, few Plans have sufficient clinical support services to properly insure coordination of efforts across a variety of vendors and programs that are poorly positioned to maximally integrate care in increasingly complex and fragmented clinical environments.
The medical Insurance Consulting Group provides Medical Director Support Services that allow your plan to achieve best practice clinical outcomes while simultaneously maximizing efficiencies across the continuum of care and utilization management vendors. From assisting in Network and Vendor RFP’s that require clinical expertise to appropriately evaluate clinical and care management programs, to assisting your legal, benefit consultants, and administrative teams in Plan language redesign and appeals issues, the Medical Insurance Consulting Group’s physicians have the requisite clinical, regulatory compliance, and management experience to assist your organization and help it achieve the best clinical outcomes in the most efficient and cost effective manner.
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