We’re challenging traditional utilization management by creating a united suite of condition management solutions designed to support and enable providers. Together, we can arrive at better health outcomes.
Our market leading CarePaths are created hand-in-hand with providers, using only the best clinical literature and policies for better patient outcomes.
Peer-to-peer reviews occur with one of our expert clinicians of the same sub-specialty, either pre- or post-determination. If you’d like to schedule a peer-to-peer discussion with one of our clinicians, please contact our Peer-to-Peer department at 800-581-3920.
We offer providers with tools and services that impact the quality and safety of your care decisions and reward you for improved outcomes.
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.
Medical policy & tools to enable improvements in care
Provide expertise for product innovation and development
Peer-to-peer reviews within each specialty
Ongoing network support and training
cases with utilization behavior change
reduction in skilled nursing facility admissions
reduction in post-operative ER utilization
reduction in condition-specific spend
We offer end-to-end member engagement and support, resulting in easier enrollment, higher retention, and superior clinical outcomes.
Personalized treatment plan offering hundreds of easy-to-follow exercise tutorials, pain management tools, and clinical advice for patients to safely accelerate recovery.
Our virtual care option staffed by doctors, physician assistants, physical therapists, and other musculoskeletal specialists to provide care in the comfort of home.