Thought Leadership

MRIoA is the industry-leading medical review company in America, with the largest, most extensive review network in the industry.

Explore these client success stories to learn more about how we help our clients by providing trusted clinical guidance, second opinions and utilization analytics.

At a Glance

At A Glance
04/05/2021

MRIoA at A Glance

An overview of MRIoA solutions. Optimizing healthcare with our determination, compassion and innovation.
At A Glance
04/05/2021

Empowering Better Healthcare Choices

Medical Review Institute of America (MRIoA) is transforming the member experience with simplified virtual access for patients that enables the best treatment options from prominent MD specialists.
At A Glance
04/06/2021

MRIoA Prior Authorization Optimization Platform™

Is your Prior Authorization (PA) program performing at its highest level?
At A Glance
04/07/2021

MyCareChoices™ Powered by Medical Review Institute of America

Learn how MRIoA creates access to telehealth 2nd opinion options from MD specialists including those from world-class organizations to benefit patients/members, health plans/TPAs and providers
At A Glance
04/08/2021

Texas Gold Card At A Glance

How Are You Achieving The Texas Gold Card Regulation Recently Enacted? Health plans, TPAs and PBMs that use a preathorization process operating in Texas have been handed a daunting compliance…
At A Glance
04/09/2021

High-Cost Specialty Drug Review

MRIoA’s High-Cost Specialty Drug Review allows health plans, TPAs and PBMs to leverage MRIoA’s specialist MDs to ensure use of evidence-based guidelines for high-cost drugs in treating medical conditions where…
At A Glance
02/03/2022

MyCareChoices™ Rx & Rx PLUS

MRIoA’s MyCareChoices™–Rx Plus provides a timely independent clinical review and 2nd opinion for rare or orphan drug therapy options.
At A Glance
04/05/2022

Pain Management

Understand the industry pain points and the importance of outsourcing pain management reviews to MRIoA.
At A Glance
04/05/2022

Orthopedics

Understand the industry pain points and the importance of outsourcing orthopedic reviews to MRIoA.
At A Glance
04/05/2022

Genetics

Understand the industry pain points and the importance of outsourcing genetic reviews to MRIoA.
At A Glance
04/05/2022

Behavioral Health

Understand the industry pain points and the importance of outsourcing behavioral health reviews to MRIoA.

Videos

Videos
04/05/2021

MyCareChoices (Virtual 2nd Opinion)

An animated video to illustrate MyCareChoices workflow process to provide patient/members with 2nd opinions and virtual access to prominent MD specialists.
Videos
04/05/2021

Empowering Better Healthcare Choices

An animated video to illustrate how MRIoA is helping to transform the patient/member experience with 2nd opinions and virtual access to prominent MD specialists.

Infographics

Infographics
04/05/2021

MRIoA New Clinical Bench Strength Infographic

MRIoA offers the largest, most extensive review network in the industry. We have over 30 internal medical directors, 26 nurses and 500+ physicians across 150+ specialties with licensure in all 50…
Infographics
04/05/2021

MRIoA Behavioral Health COVID-19 Solution

Due to COVID-19, behavioral health challenges are being exacerbated.  MRIoA developed solutions at the request of our clients to meet the higher demand.

White Papers

White Papers
09/10/2021

MYCARECHOICES™ Rx

Independent 2nd opinion of high-cost specialtydrugs to ensure evidence-based care andmanagement of the patient’s condition, published September 10, 2021
White Papers
05/21/2021

BEHAVIORAL HEALTH SOLUTION: RIGHT CARE, RIGHT TIME, RIGHT PLACE

published white paper, May, 2021. Improving member access & outcomes with behavioral health. Solutions for Healthcare Organizations
White Papers
04/05/2021

Pharmacy Solutions to PBMs and Health Plans: Controlling Specialty Drug Overutilization

published white paper, November, 2019.  Specialty drugs are a growing class of medications in the pharmaceutical industry characterized by higher complexity in production and utilization. MRIoA has performed more than…
White Papers
04/05/2021

Medical Solutions for Healthcare Organizations: Optimizing Utilization Management

published white paper, October, 2019.   Outsourcing utilization management  (UM) is a transformative business strategy that enables health plans to increase efficiency, reduce costs and provide better value for their members. …
White Papers
04/05/2021

Nursing Solutions: Transforming Healthcare with Flexible UR Nurse Solutions

published white paper, September, 2019.   MRIoA solves some of the industry’s biggest challenges in complex utilization management (UM)o with our customized Nurse Solutions.
White Papers
04/05/2021

Psychiatry: Controlling ABA Treatment Costs with Better Utilization Management

published white paper, February, 2020. MRIoA can help you manage your ABA Therapy program & utilization with our clinical behavioral health resources.

Case Studies

Case Studies
03/01/2022

Mrioa drives result

5 Leading Health Organizations Improve Quality of Care & Reduce Healthcare Costs with Independent Utilization & Clinical Review
Case Studies
04/05/2021

Expert Medical Opinion with MyCareChoices™

Powered by Medical Review Institute of America (MRIoA): Learn more about the case study that MRIoA completed to quantify how often a patients’ original treatment recommendation could be improved with…
Case Studies
04/05/2021

Orphan drug costs and utilization are a double-threat to sustainability for small and mid-market health plans

Learn how MRIoA can help health plans gain control of orphan drug costs and improve outcomes by ensuring access for patients truly in need while minimizing inappropriate utilization.
Case Studies
04/05/2021

Opioid Case Study: Controlling Inappropriate Opioid Utilization

Learn how MRIoA Pharmacy solutions provide a thorough medical review of opioid patient cases to help identify inappropriate utilization.
Case Studies
04/05/2021

Enhancing Well-Being for Individuals with Developmental Disabilities: Improving clinical incident triage and remediation

Learn how MRIoA Nurse Solutions improved clinical incident triage and remediation for one state’s Division of Developmental Disabilities (DDD).

Webinars

Webinars
08/22/2022

MRIoA Webinar on PA Optimization

Want to AVOID UNNECESSARY CARE for your healthcare organization equating to close to $10M over the next 3 years per 100K members by optimizing your existing PA program? Download the…
Webinars
06/15/2022

Regulatory Roundtable Discussion

MRIoA Regulatory & Compliance Roundtable discussion on recently enacted legislation and pending legislative requirements.  Listen to learn about the minimum compliance your organization is required to meet by state.
Webinars
05/25/2022

Texas Gold Card Webinar

How Are You Complying with the Texas Gold Card Regulation Recently Enacted? How Are You Managing with the Texas Peer to Peer Specialty Matched?
Webinars
02/01/2022

Washington Insider Webinar

Unraveling the Tangle of Federal and State Regulatory Changes in 2022
Webinars
10/05/2021

“Empowering Better Healthcare Choices” Webinar

Hear how Medical Review Institute of America (MRIoA) is transforming the member experience with simplified virtual access for patients that enables the best treatment options from prominent MD specialists. We…
Webinars
06/01/2021

Behavioral Health Solution Webinar: Right Care, Right Time, Right Place

Hear from Medical Review Institute of America (MRIoA) on the Right Care, Right Time, Right Place: Improving Member Access & Outcomes With Behavioral Health
Webinars
04/05/2021

Medicare Advantage 2021

Hear how MRIoA specialists can help your organization achieve better efficiencies with Medicare Advantage. Specifically, how you can improve your member experience for the Medicare Star Ratings and increase Medicare…
Webinars
04/05/2021

View From Washington and Impact On Healthcare Organizations

Hear President Biden’s push for significant change in healthcare with his new administration. Learn how to offset increase costs by providing a virtual 2nd opinion solution called MyCareChoices™
Webinars
04/05/2021

Gain Control Of Your Specialty And Orphan Drug Spend Starting Today

Hear how MRIoA is addressing the high cost of Orphan Drugs and Specialty Drugs.