Utilization management

Utilization management

Together, lets drive your business forward

Utilization management

Together, lets drive your business forward

All, some, or just a little

With a flexible approach, you don’t have to settle for a blanket offering. Our Utilization Management (UM) program gives you options that fit your budget, while driving efficiency. Our deep pool of experts remove barriers from complex medical, behavioural, and pharmacy UM operations, allowing our clients to focus on more critical areas, like their patients and members.

Time to Separate

In today’s healthcare landscape, clinical and non-clinical teams spend 30-40% of their time on administrative tasks, including working in multiple systems with multiple views, with exorbitant amounts of data and manual lookup. Enter EXL Health UM Operations. With a variety of best-in-class technologies and a proven system that gets results, we take UM workflows where others don’t.

Who we serve

EXL Health partners with and delivers our Utilization Management services to both health plan payer and provider organizations. We support driving value-based outcomes and transformation in order to support improvements to member health outcomes, medical cost containment and quality compliance.

Featured insights
CareRadius™ from EXL Health enables transparency across the care continuum, giving health plans quick and seamless access to real-time data that
Amid the continued disruption of the healthcare environment, integrated care management platforms are proving key in reducing costs, improving quality of care, and enhancing the patient experience.
A large national healthcare insurer was looking to take their Utilization Management (UM) operations to the next level. They sought a strategic partner that would bring innovations, efficiencies and savings to their organization and help them deliver continuous process improvements.