Best Utilization Management Software

ACUITY Advanced Care is an integrated care management software application that robustly supports case, utilization, disease and population health management programs. The ACUITY suite offers a user-friendly experience with full flexibility to support even the most challenging case management workflows

Helping achieve population health management goals, Population Health Analytics enables organizations to leverage their data to more effectively manage patient populations, identify gaps in care, and get actionable insights at the point of care.

A risk management analytics and advisory services package for ACOs, CINs, providers, and hospitals that want to improve resource utilization, reduce drug costs, and coordinate care for chronic patient populations

An analytics-driven claims and remittance management solution for healthcare providers who want to automate workflows, improve resource utilization, and accelerate cash flow.

The AveCare Software platform enables collaborative care through integrated solutions for: Case Management, Disease Management, Utilization Management , Patient Advocacy. AveCare Care Management Software enables Health Plans, Third Party Administrators (TPAs), Independent Review Organizations (IROs), Physician Networks and other Healthcare Delivery Organizations to optimize clinical and financial resources while improving patient outcomes.

CaseTrakker products provide a comprehensive care management solution designed to ensure that your users always have the most up-to-date information and the tools to manage their members efficiently.

Midas+ Care Management is a quality control software for healthcare providers to manage risk, track cases, create compliance reports, and collect patient data.

eQCare Utilization Management (UM) services assist health plans by providing a multi-faceted approach to managing requests for medical services ensuring the services are medically appropriate and necessary through the use of evidence-based clinical guidelines and physician input. Utilization Management workflows and processes allow requests for services to be initiated through multiple channels including web entry, fax and/or telephonic submission supported by a network of professional service representatives backed by a large clinical staff of nurses and physicians.

Graham Healthcare Group's Home Health Utilization Management solution empowers health plans to better manage their home health utilization and network of providers by leveraging quality, utilization, and cost data from the health plan's existing home health providers.

An automation solution for providers/care managers that want to leverage their EHR to complete InterQual medical reviews automatically, instantly, and accurately.

MedCompass is a fully integrated, outcome-driven solution that allows you to improve patient experience and quality of care and reduce costs to achieve the Triple Aim, while also enhancing the work life of healthcare providers.

Envolve MSO services provide organizations with the strategies, people and processes necessary to provide value-based, affordable care and drive real healthcare transformation.

Visually interact with data for easier insight into ambulatory surgery center or revenue cycle operations. Quickly access key performance indicators (KPIs) to analyze financial performance. Easily identify trends and analyze historical data to identify problem areas within an organization.

Cortex provides a 360 approach to addressing the intricacies of utilization management and revenue cycle processes. Cortex ensures that the right cases are handled at the right time, by the right staff or by exception.