TurningPoint Healthcare Solutions is a specialty condition management organization founded in 2014 with a single mission: improve the safety, quality, and affordability of care.
TurningPoint manages more than 45 million covered lives across all lines of business, fielding prior authorization requests from all 50 states. We focus exclusively on high-cost, high-complexity, high-variability specialty care — primarily musculoskeletal and cardiovascular condition categories — because that is where clinical expertise changes patient outcomes most.
We are an independent company, not owned by or affiliated with any health plan or provider system. That independence is structural, and it matters: our clinical determinations answer to the evidence and nothing else.
Our clinical team includes more than 100 board-certified surgical sub-specialists. Our medical policies are evidence-based, reviewed continuously, and aligned with national specialty society guidelines. Our clinical leadership includes physicians who have held leadership roles within AAOS, NASS, ACC, and other major specialty societies — the organizations that set the standards for the procedures we review.
We believe condition management is a clinical discipline, not an administrative one. Every adverse determination at TurningPoint is made by a board-certified physician in a matched specialty. Technology accelerates our work. It never replaces clinical judgment.
Accountability is built into every partnership. TurningPoint assumes full condition-level risk, including downside, and guarantees savings. We meet required turnaround times 99.9% of the time, and we’ve retained 100% of our clients over the past ten years.
