Utilization Management
Better Care, Healthier People and Smarter Spending
Ensure appropriate health care utilization and allocation of scarce resources while improving quality of care through Alliant’s integrated approach to utilization management (UM) and quality improvement. We use best practices in combining the best people, processes, technology, and data in a program that ensures the right care at the right time in the right setting.
Alliant offers an approach to UM derived from over four decades of experience as a UM and medical review vendor. We incorporate principles of clinical leadership, education, analytics, medical policy, and customer service into our program.
Our biggest differentiator is clinical leadership. We are a clinically-driven organization focused on making an impact on health care. Our clinical leaders stay current on healthcare trends and research to serve a medical policy consultation function for our clients in addition to directing UM.
Better educated providers provide better, more appropriate services and reduce program costs. Utilization review without education only addresses the second half of the problem.
Using Alliant’s web-based utilization management tool-Quantum XL™ for service authorizations, we are able to provide assistance in appropriate allocation of resources. In addition, our analytical team identifies trends in program data to assist our clinical leaders in developing educational topics for your providers and suggest potential changes in policies or opportunities to target other providers or services for review.
We incorporate the spirit of responsive, customer service and accessibility into our operations. Not only do we establish transparency and open communication with our customers, but we respond to feedback from the provider and member community.