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The Cadenza Difference

Our years of service making health plan coverage determinations coupled with our direct experience as providers in the hospital, Long Term Acute Care, Acute Rehab Hospitals and Skilled Nursing Facilities provides an unbiased perspective for health plan and patient outcomes.

Health Plan Services
Provider Services

Our Services

What We Do

– Utilization reviews/authorizations of
- Preservice reviews
- Concurrent reviews
- Post service care reviews
– Peer to peer reviews
– Policy review and recommendation

Key Benefits

– Supplement or manage the UM services for your company
– Quick implementation using your proprietary software
– Education for internal UM/UR team on medical review decision making
– Add long lasting value by improving internal processes

HMO & PPO

Health Plans

– Medicare Advantage plans
– Commercial/ERISA plans

– Exchange/Underwritten plans
– Third party plan administrators

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Hospitals & Care Facilities

Providers

– Hospitals
– Long Term Acute Care
– Acute Rehab Hospitals

– Skilled Nursing Facilities
– Durable Medical Equipment Providers
– Mental Health Service Providers

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improve your internal Utilization Management team

Cadenza Health can partner with health plans and providers of any size