Transform complex condition management

We’re committed to guiding members to optimal health using a human approach, decades of clinical expertise, and state-of-the-art technology. We prioritize collaboration with providers to fill in gaps in care and achieve better outcomes.

The impact of unmanaged care

In today’s rapidly evolving healthcare landscape, health plans and other risk-bearing entities are feeling the effects of poorly managed care.

Declining clinical outcomes

Unsustainable cost trends

Unnecessary readmissions

Poor member experience

All-in-one solution for complex condition management

At TurningPoint, we take a new approach to complex condition management, combining a market-leading utilization management platform with member-facing digital engagement and value-based provider enablement capabilities.

Case Study

Leading Health Plan Partners with TurningPoint

To see the full impact of TurningPoint's dynamic condition management strategy, download our new case study.

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The TurningPoint advantage for health plans

Provider Collaboration & Enablement

We believe in a collaborative, not denial-based, approach to utilization management, and offer an advanced toolkit to enable providers to deliver high-quality care and be rewarded for it.

Comprehensive Member Support

We offer end-to-end member engagement and support, resulting in easier enrollment, higher retention, and superior clinical outcomes.

Guaranteed Cost Savings

We engage in capitated arrangements that bend the cost curve in your favor, locking in savings and providing revenue predictability.

Clinically proven solutions for complex conditions

Musculoskeletal
Cardiology
Wound Care
Sleep Management
Ear, Nose, and Throat
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Meet our nationally recognized industry experts

At TurningPoint, our success is driven by our clinical team. Our experts will engage and collaborate with your network to ensure members receive the highest quality care.

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Medical policy & tools to enable improvements in care

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Provide expertise for product innovation and development

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Peer-to-peer reviews within each specialty

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Ongoing network support and training

About Us
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It only goes up from here

42M+

lives managed

50

states with supported members

$4B+

healthcare costs managed annually

~30%

reduction in condition-specific spend

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Scheduling Department
Pediatric ENT in Texas

TurningPoint made our practice feel heard and genuinely cared about helping our clinicians deliver high-quality care.

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Revenue Cycle Manager
Medical Center in New York

We sincerely appreciate the help and support that TurningPoint has offered us throughout our partnership. The team is extremely collaborative and has been instrumental in helping us treat our patients.

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Director of Surgery Coordination
Private ENT in Southeast

We can’t thank TurningPoint enough for their help. It was so difficult for our team to process authorizations until we started working with them.

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Contract Negotiator
Health System in Arizona

TurningPoint was so quick to respond to our questions and was able to provide the documentation we needed in a timely manner. They’ve really helped improve the way we review and approve surgeries.

Ready to transform your complex condition management program?
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