Fact sheet: Medical Benefit Management
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Medical Benefit Management for health plans
Discover simple solutions for complex conditions.
Reduce costs, manage risk, improve outcomes
Medical Benefit Management (MBM) offers an integrated suite of benefit management services.
These services help health plans and self-insured employers reduce total cost of care, manage organizational risk and improve outcomes for members facing complex disease states.
MBM relies on a four-pronged strategy of network management, utilization management, care management and claim review.
MBM strategies
- Care management
- Utilization management
- COE/Network
- Focused claims review
By combining these condition-centric capabilities with flexible funding models, including full risk transfer, MBM delivers the greatest impact to the patients and payers who need it most.
How we help
Bariatric Resource Services
Offer cost effective, quality proven, weight-loss surgery.
Focused Claims Review
Ensure billing accuracy of professional and facility claims.
Musculoskeletal (MSK) Solutions
Manage escalating spend and utilization.
Oncology Management Programs
Manage cancer costs, improve outcomes and quality of care.
Transplant Solutions
Get significant savings and statistically superior outcomes.
Kidney Disease Management
Attain comprehensive, cost-effective disease management.
Specialty Pharma Solutions
Manage specialty medical drug expenses.
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