Specialty condition management, led by the clinicians who set the standard.

TurningPoint manages high-cost, high-complexity musculoskeletal and cardiovascular care — ensuring every patient gets the right procedure, at the right time, through a model built on sub-specialty clinical expertise.

The TurningPoint Difference

Most companies claim to support our healthcare system, yet when they fix one problem, they break something else. Even in an age of innovation and connectivity, health plans, patients, and providers have settled for a disjointed, inefficient patient care journey.

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Unsafe or unnecessary treatments

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Rising costs of care

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Delayed access to care

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Declining clinical outcomes

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Frustrating member and provider experiences

Complex care, simplified

We offer an all-encompassing suite of solutions designed to improve the full scope of complex condition management.  Our goal is to make patients healthy and doctors happy—more quickly, more consistently, and for less money.

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Holistic view of the patient

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Highly engaged members and providers

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Improved access to care

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Exceptional clinical outcomes

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Affordable healthcare for all

Complex Condition Management

Traditional Denial-Based Utilization Management vs. TurningPoint Complex Condition Management

Healthcare needs to move past traditional utilization management to meet the needs of patients, payers, and providers. Our full condition risk management strategy makes it easy to achieve optimal care experiences, costs, and outcomes.

Traditional Denial-Based Utilization Management
TurningPoint Complex Condition Management
Reviews conducted by true clinical peers, sub-specialty matched
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Assume full condition-level risk, including downside
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Guarantee savings in every partnership
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Evaluate every case in the context of the whole patient
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Collaborate with providers to promote best-practice medicine
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Our Clinical Model

Deep sub-specialty expertise. Real provider collaboration.

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100+ board-certified surgical sub-specialists, with leadership drawn from AAOS, NASS, ACC, and other major specialty societies

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Peer-to-peer reviews always within sub-specialty - spine surgeon to spine surgeon

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Every case aligned to national best-practice guidelines, not administrative denial

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Every case reviewed in the context of the whole patient - comorbidities, imaging, conservative care history, surgical risk

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Results

A model built to drive tangible results

Reductions in:

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Surgical Revision Rates

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Readmissions Post-Surgery

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ER Visits Post-Surgery

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80% Provider Satisfaction Score

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Avg 15-30% Claims Savings

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100% Client Retention Rate over the past ten years

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Condition management that everyone can get behind

Our integrated care solutions engage and connect all parties involved in the care journey.

It only goes up from here

45M+

lives managed

50

states with supported members

$4B+

healthcare costs managed annually

~30%

reduction in condition-specific spend

Want to make a difference in healthcare? Join our team.

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