We’re challenging traditional utilization management by creating a united suite of condition management solutions designed to support and enable providers. Together, we can arrive at better health outcomes.
Our market leading CarePaths are created hand-in-hand with providers, using only the best clinical literature and policies for better patient outcomes.
Peer-to-peer reviews occur with one of our expert clinicians of the same sub-specialty, either pre- or post-determination. If you’d like to schedule a peer-to-peer discussion with one of our clinicians, please contact our Peer-to-Peer department at 800-581-3920.
We offer providers with tools and services that impact the quality and safety of your care decisions and reward you for improved outcomes.
At TurningPoint, our success is driven by our clinical team. Our experts will engage and collaborate with your network to ensure members receive the highest quality care.
Medical policy & tools to enable improvements in care
Provide expertise for product innovation and development
Peer-to-peer reviews within each specialty
Ongoing network support and training
Throughout his 35-year medical career, Dr.Halsey has witnessed firsthand the importance of putting the patient first. As Chief Clinical Officer, he contributes to the team by aligning the talented internal staff with our Scientific Advisory Board, facilitating cost-effective, safe, high-quality care.
Dr. Jones joined TurningPoint as Chief Medical Officer to contribute her decades of cardiatric knowledge. Through her collaborative conversations with peers about different cases, she has become very optimistic about the ways in which our organization can improve patient care.
Dr. Mick joined TurningPoint as one of our Medical Directors, bringing over 45 years of experience in the medical field, specializing in orthopedics, arthritis, and spine disorders and surgical procedures. Dr. Mick is Board Certified by the American Academy of Orthopedic Surgery.
cases with utilization behavior change
reduction in skilled nursing facility admissions
reduction in post-operative ER utilization
reduction in condition-specific spend
