Driving Directions
Prescription Benefits Manager HIPAA General Health Resources Provider Network Utilization Management Reimbursement Accounts
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Utilization Management

Take advantage of the many Cost Containment opportunities EBPA has to offer. Ranging from traditional Utilization Management services to the latest technologies including predictive modeling and risk stratification, we either have or can tailor a program to meet your specific needs.

To learn more information about these and other solutions, contact our Marketing Department.

Traditional Utilization Management

  • Inpatient Medical/Surgical and Behavioral Health
  • Preadmission review
  • Concurrent review
  • Discharge planning
  • Screening and referral of appropriate situations to Large Case Management

Large Case Management

  • Medical
  • Surgical
  • High risk maternity
  • Mental Health and Chemical Dependency
  • Multi-Specialty case manager
  • Assistance with renewals with up-to-date information

Predictive Care Management

  • Online Health Risk Assessment
  • Multimedia health tutorials
  • Identification and stratification of population risk through Rx data
  • Claim data analysis
  • Identify individuals at risk for chronic illnesses, adverse drug events, non-compliant behavior, over utilization of certain types of meds.