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Medical Management

Meritain Health’s medical management strategy helps our clients control healthcare costs. We do this by identifying employee medical needs and providing support for good health management. By combining the sophistication of our data system, the high-touch care of our utilization management and case management, and the strength of our disease management and wellness programs, we offer our clients a comprehensive healthcare safety net.

Our integrated data system allows interdepartmental communication to help us proactively track member health trends and risk patterns. Coupled with biometric and health assessment results from our Healthy Merits Wellness Program, we can identify and reach out to employees who may benefit from supplemental wellness education, Lifestyle Coaching or Disease Management Nurse Health Coaching.

Our clients can realize greater costs savings through precertification of certain high-dollar healthcare services, and through case management of costly and complex cases such as oncology and transplant.