IMS utilizes its sister company, IMS Managed Care, to monitor health care while maximizing the employee's Health Benefit Plan.
- IMS Managed Care provides the following services:
- Utilization Management
A process used to control costs by case assessment of appropriateness, effectiveness and duration of a hospitalization. This includes pre-certification to the hospital admission, concurrent review of the effectiveness and the duration of the hospital stay as well as discharge planning.
- Case Management
A collaboration process which promotes high quality care with cost effective outcomes enhancing the physical, psycho-social and vocational health of individuals. The ultimate goal is to promote high quality cost-effective care while advancing the patient's best interest, monitoring services for effectiveness and maximizing benefits for the participant.
- Disease Management
Designed to bring together a circle of health with the physician, the patient, community and case manager for chronic diseases to result in fewer hospital admissions. This is done by assessing the patient needs, monitoring compliance with the physical treatment plan, providing resources for education and networking, offering emotional support for the patient as well as coordinating equipment, medication and professional care.
- Reporting Services
- Monthly Case Management Reports
- Case Management Report For Each Participant
- Quarterly Utilization Review Reports