Skip to main content
Get the latest market insights and industry trends on Regulatory, Data, Pharmacy and Health   Register for the annual washington insider webinar -- must attend event!   Webinar on Demand for MRIoA's High-Cost Specialty Drug Review Webinar

Utilization Management for Self-Insured Employers

Technology-Enabled Solutions From Trusted Medical Experts

Increase Employee Satisfaction While Decreasing Your Costs

MRIoA empowers self-insured employers by providing trusted clinical guidance and second opinion solutions that help you decrease costs and increase member satisfaction by providing conservative treatment options.

MRIoA’s real-time utilization management benchmarking analytics from MRIoA Insights™ also help you deepen your view of prior authorizations (PAs) and appeals, and get actionable intelligence to improve your PA process.

MRIoA focuses on the following services for self-insured employers:

PROACTIVE SECOND OPINIONS

MyCareChoices™ delivers a telehealth 2nd opinion from a MD specialist as part of the approved Prior Authorization process.  This enables the member to better understand their condition and treatment options, so they can make the best decision for themselves and their family. MyCareChoices™  delivers ~$800K per 100K members in savings by reducing unneeded procedures and requires no IT integration.

Learn More
  • Initial Reviews
  • Appeals
  • Federal and State External Review
  • Allied Reviews
  • Dental Reviews
  • Quality of Care Reviews
  • Special Investigations Unit (Fraud, Waste and Abuse)
  • Diagnosis-Related Group (DRG) Clinical Validation Review
  • Pharmacy Reviews (Commercial, Medicare Parts B and D)
  • Specialized Reviews (Disability, Prudent Layperson, Workers Comp, etc)

CLINICAL AND UTILIZATION REVIEW

Our holistic clinical and utilization reviews include: initial reviews, appeals, Federal and State external reviews, allied reviews, dental reviews, quality of care reviews, special investigations, DRG clinical validation and pharmacy reviews. Conducted by physician, pharmacist and nurse experts, our clinical reviews are delivered with world class speed, access, quality and simplicity. With the largest, most extensive review network in the industry, multiple accreditations, UR licensing in all states, and industry-leading turnaround times (TATs), partnering with MRIoA ensures appropriate care and positive patient outcomes.

Learn More

MRIoA INSIGHTS

Gain access to our proprietary data warehouse covering 220 million lives and 40 years of medical review outcomes. MRIoA Insights™ provides utilization management analytics and  industry benchmarking to drive clinical and business decisions. Deepen your view of prior authorizations and appeals by comparing industry-level denial and overturn rates and much more.

Learn More

Resources

Case StudiesResources
03/03/2024

How Spark Hire’s Talent Acquisition Suite is Transforming Recruitment for Medical Review Institute of America

Webinars
02/15/2024

Download the MRIoA’s High-Cost Specialty Drug Webinar

High-Cost Specialty DrugsCase Studies
02/09/2024

High-Cost Specialty Drug Review Patient Stories

Read some personal experiences from our High-Cost Specialty Drug Review program.
BlogWebinars
02/08/2024

Download the Election Year Health Check – Washington Insider Webinar

​​​​March 6, 2024 10:00 am PT | 11:00 am MT | 12:00 pm CT | 1:00 pm ET

Why Delay?

Harness the power of an independent review to ensure evidence-based care and appropriate utilization of treatments.

All fields are required

First Name
Last Name
Email
Phone
Company

How Can We Help You?
Limited to 250 characters