Health Integrated Renewed NCQA Certification Renewal for Utilization Management

TAMPA, Fla., Sept. 7 /PRNewswire/ -- Health Integrated, a leading provider of Health Management Solutions for health plans, has received a two-year renewal of its Organization Certification for Utilization Management from NCQA, an independent, not-for-profit organization dedicated to measuring the quality of America's health care. NCQA UM Certification is a quality assessment program that focuses on consumer protection and customer service improvement.

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"We are extremely pleased to be recognized in the industry for our focus on quality," says Sam Toney, MD, chief medical officer of Health Integrated. "All of our programs are designed with an integrated view of health management, leading-edge technology and a dedicated, customer-service orientation to ensure that the right care is delivered at the right time, at the right place for the benefit of health plan members."

Health Integrated's Utilization Management offering eliminates non-essential treatments and keeps individuals on a path to health by closely monitoring prescribed procedures for medical necessity.  Expert nurses and clinicians work with care providers and plan managers using detailed patient history information, national medical protocols and medical necessity criteria.  In addition to coordinating approvals for treatment, Health Integrated's team follows up to coordinate continuing or outpatient care after discharge, and makes referrals to Case Management or other programs where appropriate.  The Company's other health management programs include Integrated Chronic Condition Management, medical and behavioral Case Management and Physician Review Services, SNP Model of Care and Nurse Advice.

"Achieving Organization Certification from NCQA demonstrates that Health Integrated has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards," said Margaret E. O'Kane, president, NCQA.

For the renewal, NCQA reviewed and certified Health Integrated's Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.

About Health Integrated
Health Integrated is the leading innovation partner for health plans, providing evidence-based solutions to accelerate achievement of health management goals for clinical outcomes, quality measures and cost containment. For more information, visit www.healthintegrated.com.

SOURCE Health Integrated

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