Transforming Complex Condition Management

Transforming Complex Condition Management

Connecting members with the best path for their care journey

A dynamic utilization management strategy is key to maximizing revenue, streamlining operational efficiencies, and ensuring members receive the most appropriate care at the right time in the right care setting. 

TurningPoint enhances your utilization management process by providing the highest standard of member-centered clinical guidelines for musculoskeletal, cardiology, and other complex conditions, all designed by our team of world-renowned healthcare professionals. We advance value-based care through our evidence-based criteria and incorporate each member’s individual needs.



Wound Care

Sleep Management


ENT & More

Health Plan Case Study: Leading Health Plan Partners with TurningPoint

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

Featured Insights

Read our blog series about the benefits of sophisticated utilization management for health plans. 

In the News

Stay up to date with the latest TurningPoint news.

Let's Talk

Interested in learning more about TurningPoint’s Utilization Management solutions? Complete the form and we’ll be in touch.

TurningPoint by the Numbers

0 + million
lives managed
> 0 clinicians
on UM review staff
10 days
average time for a UM review
0 states
in contact with health plans

About TurningPoint Healthcare Solutions

TurningPoint was founded to solve the complex challenges that exist in healthcare using deep clinical expertise and technology to enhance the capabilities of health plans to deliver value-based care to their members.

NCQA icon
©2021 TurningPoint Healthcare Solutions LLC.  |  Member Rights & Responsibilities | Clinical Policies & Guidelines | Privacy Policy | Terms of Service
TurningPoint Healthcare Solutions Announces Joint and Spine Program for Health Plan Members
This is default text for notification bar