Validated Program Report

MedWatch, LLC

MedWatch is an innovative leader in Population Health Management and Cost Containment providing beneficial solutions to the self-funded, self-insured industry and employer groups who benefit from these quality services. MedWatch is URAC accredited in Utilization, Case, and Disease Management, plus provides proven solutions that help plans mitigate risk and maximize savings with the assurance of quality outcomes. Additional services include Pathways Concierge, comprehensive reference-based pricing with member support & advocacy, high-dollar claim review, kidney care, dialysis savings, bundled programs, and more. MedWatch’s comprehensive medical cost containment solutions combined with their proprietary technology and care management system work together to effectively identify and manage risk while enhancing clinical and financial outcomes.

Savings Review for MedWatch

MedWatch Claims Solutions

MedWatch Claims Solutions addresses high-dollar claims that would often get paid at higher than necessary amounts by payers who may be using standard PPO discounts or accessing agreements that take a minimal percentage off of billed charges.