features and benefits
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.
- Care management
- Utilization management
- 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.