Utilization Management

Are your physicians ordering the right tests? Is your hospital getting the right clinical return from your laboratory testing dollars?

Through utilization management, we can help your hospital control expenses by using resources more effectively, while improving clinical care and service.

As Medicare and other payers increasingly target overutilization as a way to curb costs, utilization management - the evaluation of the medical necessity, appropriateness and efficiency of the use of healthcare services - has entered the realm of laboratory testing.

The innovative use of information technology is at the heart of a successful laboratory utilization management program. Working with your laboratory and IT staff, we will:

  • Define clinical parameters and build an IT Infrastructure
  • Establish program objectives and gather utilization data
  • Analyze data, provide insights and make recommendations
  • Migrate to best practices and implement continuous improvement and reporting initiatives

Utilization Management Model

Utilization management model chart

Learn how our solutions could lower your lab costs. Connect with us.