About Cadenza Health

Experienced IRO for Medicare Advantage Health Plans and more

Cadenza Health is an Independent Review Organization (IRO) that provides expert, unbiased physician reviews with a deep understanding of Utilization Management.


Cadenza Health enables small-to-midsize health plans to provide uninterrupted and high-quality service to their members in times of unpredictable enrollment and increasing complexity in regulatory environments, all while keeping your consulting service costs low.

With extensive experience working with Medicare Advantage plans, we understand the unique challenges these health plans may face. Our mission at Cadenza Health is to support your mission through our personalized IRO services tailored to meet your organization’s specific needs.

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Why Cadenza Health?

We’re here for you whether you need relief due to increased volume or strategic help with your utilization management needs so that you can continue to provide unmatched service to your members.

UM expertise

Affordable solutions

Personalized service

Commitment to quality

Responsive and flexible

The Cadenza Health Difference

While many independent review organizations serve as brokers, connecting clients with physician reviewers, we focus on working directly with our clients to develop intensive utilization review processes with expert quality oversight. Our core team has clinical experience in a spectrum of care settings, coupled with experience as medical directors focused on utilization management and utilization review. With this experience, our clients can be assured that they’ll always receive unbiased, criteria-based, consistent, and compliant reviews. 

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Our Values

Insight

We draw on our decades of clinical experience and our extensive background in utilization management and utilization review to apply criteria with care and insight.

Balance

Processes for quality and consistency from independent reviewers protect both patients and the healthcare system that cares for them.

Humanity

Behind every review is a person, and our goal is to ensure that every patient receives the best possible care through unbiased reviews based on existing criteria for care.

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