features and benefits
Reduce costs, manage risk, improve outcomes
Medical Benefit Management (MBM) offers an integrated suite of benefit management services.
These services help health plans and self-insured employers reduce total cost of care, manage organizational risk and improve outcomes for members facing complex disease states.
MBM relies on a four-pronged strategy of network management, utilization management, care management and claim review.
MBM strategies
- Care management
- Utilization management
- COE/Network
- Focused claims review
By combining these condition-centric capabilities with flexible funding models, including full risk transfer, MBM delivers the greatest impact to the patients and payers who need it most.
How we help
Fact sheet: Medical Benefit Management
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