Our team provides a range of clinically-focused solutions to health and human services agencies and organizations, helping them reach their program goals of providing the appropriate care for the populations they serve.
We specialize in designing, delivering, and evaluating clinical programming with a special focus in the areas of pharmacy, long-term services and supports, disability determination and medical review, managed care technical assistance, and laboratory testing. Our team of experts includes clinicians, pharmacists, and technical experts.
Learn more about the solutions we deliver:
Clinical Operations and Support Services
- Complex Case Management
- Managed Long-Term Services and Supports Advisory Services
- Medical & Pharmacy Prior Authorization
- Newborn Screening
- Justice-involved Populations
- Pediatric Care Coordination
- Plan Design
- Clinical Operations and Support
- Fiscal Integrity
- Program Integrity
- Rebate Management
- Opioid Management
Clinical Eligibility Determination
- Disability Evaluation
- Preadmission Screening & Resident Review (PASRR)
- Utilization Management
- Home and Community-based Services Waivers
Third Party Administration
- Provider Network Development
- Program Integrity