The present-day utilization management model (Utilization Management 1.0) fails to meet the needs of today’s patients, employers and payers. This old-school process of approving or denying a requested procedure, based on standardized medical policy and benefit/eligibility review, does little to improve patient safety, to ensure continuity of care or to achieve higher-order outcomes for patients and covered populations.
The shift to population health management is broadly defined as Care Management 2.0. In response to this paradigm shift, TurningPoint offers an integrated end-to-end, broad slate of solutions for managing individual patients and overall population health through offering multiple clinical modalities.
TurningPoint presents a novel, global approach to value-based care and provider reimbursement, incorporating the latest advances in telemedicine, digital patient assessment and recovery management, delivered through an integrated system of advanced data analytics, AI technology, world-class clinicians and coordinated care navigation.
At TurningPoint, we identify patient candidates for management before they become lost to the myriad unguided options available in the medical system.
At TurningPoint, we identify patient candidates for management before they become lost to the myriad unguided options available in the medical system, get them to the right provider type at the right moment, then guide, coach and encourage them to fuller functional recoveries.