Healthcare Management

MagnaCare Health Advocacy Programs

MagnaCare Health Advocacy Programs, offering a set of products and services that arrange for delivery of quality care in an appropriate setting, at a competitive price. We apply our extensive expertise and understanding of your clients' needs and requirements in the pursuit of arranging for appropriate and cost effective care. We help your client make better healthcare decisions. That way, quality healthcare is delivered effectively in times of need.

• Pre-Admission Certification assures that only patients with a medical need for hospitalization are admitted on an inpatient basis. Pre-admission testing and same day surgery are authorized whenever possible.
  
• Concurrent Review for necessary hospitalizations assures that the length of time spent in the hospital is appropriate, and based on established norms, which are considered in conjunction with the patient's age and medical condition
  
• Discharge Planning is initiated early during the hospitalization to permit patients to go home with the care they need to permit a safe and early discharge.
  
• The Surgical Review Program identifies unnecessary inpatient and outpatient surgical procedures through physician review.
  
• The Outpatient Medical Review Program provides a prospective review of high cost medical procedures and services to determine if they are medically appropriate and necessary.
  
• The Prenatal Risk Management Program is designed to promote healthy maternity outcomes through education, prenatal care and identification and management of high-risk cases.
  
• Large Case Management Services identifies those major cases where more personalized, intensive intervention can result in considerable savings while assuring medically appropriate care for critically ill or injured patients.
  
• The Disease Management Intervention Program identifies, assesses, and monitors the patients most severely affected by chronic conditions such as asthma and diabetes.