Personalized clinical guidance
Clinical expertise is a core part of our Quantum Health Complete™ navigation solution. From the moment members begin their medical journey, they are paired with a nurse from our in-house team. A dedicated nurse will guide your employees every step of the way, from explaining members’ complicated diagnoses to checking on the emotional wellbeing of their families. Every nurse is trained to understand your members’ unique needs, providing decision support, needs assessments, care plans and relief.
- Utilization management
- High-cost case review
- Medical appeals coordination
- Case and disease management
- Preadmission and postdischarge planning
- Behavioral and mental health support
- Prescription and specialty pharmacy management
- Transplant and oncology management
- Referral and eligibility verification for providers
Quantum Health Access™ features our best-in-class navigation solution to provide a simplified and improved benefits experience for your employees and their dependents.
We make it easier for you to design a tailored, high-performing benefits program. Choose any or all of the solutions from our tiered portfolio to drive utilization, member satisfaction, health outcomes and ROI.