HealthHelp Achieves QIO-like Certification

7.22.2011

The Quality Improvement Organization (QIO)-like designation reflects the continued efforts of HealthHelp and its payer clients to improve care quality and lower costs. Among the criteria HealthHelp met to achieve this certification are status as a physician-access organization, the ability to perform medical and quality-review functions, and the presence of a consumer advocate on its

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Radiology Benefits Management Companies Are the Needed Gatekeepers

7.20.2011

CT scanners across the country need a gatekeeper. That could be concluded from The New York Times article from June 18, 2011, “Medicare Claims Show Overuse for CT Scanning.” With respect to the “double scans” discussed in this article, neither the physicians requesting these studies nor the doctors performing them at these hospitals made sure

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