Health plans are moving with an increasing sense of urgency toward adopting alternative payment models based on pay-for-performance metrics. That means more payers and providers are focused on meeting quality measures. The scores payers receive on quality measures enable consumers to compare and contrast which health plans will meet their needs.

MedReview’s quality management program helps payers increase operational efficiencies, mitigate clinical and professional risks and assure compliance in accordance with industry requirements and regulations. With more than five decades of experience serving as an independent auditor of healthcare claims throughout the U.S., we continue to set the standard for accuracy and professionalism in quality assurance.