Medical Management

Cultivating the best care for your members

Spreadsheets don’t provide quality care: people do. At MagnaCare, we want to make sure that care and compassion drive the quality of care you receive. We believe having a comprehensive medical management program in place gives you more control over the quality of care.

Our program is focused on giving patients the best possible care based on their medical needs — and nothing else.

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Getting great care starts with a human connection. Comprehensive medical management programs that give patients the best possible care.

Utilization Management

Utilization Management

We will determine which services are medically appropriate and necessary. How do we do it? With mix of evidence-based clinical guidelines, benefit tiering and prior authorization data.

We can monitor claim activity to identify recurring or expensive claims. We also redirect services to improve the quality of care and reduce costs.

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Telemedicine

Online appointments can cover a lot of ground when in-person appointments aren’t necessary, and they can lead to better health outcomes and more engaged patients.

Our HIPAA-compliant online software lets patients connect with a doctor who will diagnose their condition and prescribe an appropriate treatment.

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Telemedicine
Providers

Promoting Wellness

Member health and wellness is a top priority for us. That’s why we work to ensure members have access to the services and tools necessary to stay healthy. We believe prevention starts with primary care. We identify gaps in care, assist members in receiving the appropriate preventive care they need, and help them establish a relationship with their primary care provider. We’ll also work to promote incentive programs, send out wellness newsletters, provide prevention education, and ensure members have access to vital behavioral health services.

Price Transparency Tool

You can think of our price transparency tool as a trusty online health assistant.

Members can quickly find pricing information for procedures directly related to their symptoms or condition.

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Price Transparency
Nurse Case Management

Nurse Case Management

When members have complex and catastrophic medical conditions, they often need extra input and care.

Our highly trained nurse counselors proactively reach out to members who need additional attention and would benefit from individualized case management.

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High-Cost Specialty Drugs

Opioid addiction and misuse has become an increasingly worrying health concern — not to mention a financial burden.

Our Pain Management and Opioid Oversight Program helps you control opioid use among your members and reduce associated costs.

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Opioid Oversight
Population Health

Total Population Health

Making sure members are healthy matters more than anything. We analyze your members’ data to identify those at risk and predict the annual cost.

We can coach these members through chronic and complex health issues and make sure they’re supported with managing their conditions.

Find Out How >

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I love having someone with medical training to talk to about my health. She has been very helpful from the beginning and talking to her encourages me to accomplish my health goals.

— Member

Ready to talk it over? We’re ready too.

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