Medical Management
The right care for your claimants. The right processes for you.
Better outcomes start with proactive, compassionate care
Crawford delivers specialized, one-on-one care for your injured workers or policyholders, meeting their unique needs and facilitating rapid, full recovery.
Instead of a one-size-fits-all approach, our clinical professionals select best-fit services and craft personalized care solutions to support better health outcomes for all of our patients.
Crawford’s Broadspire brand is a world-renowned leader in medical management and offers a comprehensive set of end-to-end clinical management programs to meet virtually any need. Our specialists understand the value of the right care to both claimants and insurers as they work daily to restore the lives of those who have been injured.
Managed by experts to maximize efficiencies
Providing the right care doesn’t mean costs have to be out of control. With Crawford, every claim is managed by an industry-leading team of medical experts that not only ensures patients are receiving the right care, but also that processes are efficient and costs are accountable.
An efficient recovery benefits both patient and payer. But the right care is about more than just speed. Through the management of every claim, Crawford provides a host of review services to maximize efficiencies for the patient and the business. These include:
- Case and Care Mgmt
- Physician review
- Medical bill review
- Utilization review
- Pharmacy review
Data to drive your decisions
Going beyond claim management, Crawford’s medical management services can provide detailed data to help your business better predict and plan for future medical claim costs. By giving you a 360-degree view of your medical management claims, Crawford enables better outcomes and more effective risk management for your business.
Industry-leading data and analytics program
We believe data becomes valuable when it informs and drives program improvement. Behind each of our services is a base of industry-leading data and analytics used to shape and improve service delivery throughout the life of a claim and implemented across entire programs by our client service teams. With a company-wide focus on continuous improvement, we are geared towards looking for advanced ways to analyze data, find new insights, and share those findings with our customers.
Care management for loved ones
There are no simple solutions when making care decisions involving the elderly, disabled or chronically ill, but we can help make it easier
Acting as client advocates, medical advisors or surrogate family members, our care managers work with clients to assess needs and recommend options for the care of loved ones. Our case managers include registered nurses, vocational counselors and masters-level social workers with extensive backgrounds that power an understanding of the intricacies of the psychosocial, environmental, financial, legal and other health-related needs each client faces.
From living arrangement evaluation and coordination to medical bill auditing, we find the highest quality and most cost-effective solutions while delivering care with compassion.
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