Claims questions answered.
Routing and proper adjudication of claims.
Facilitating the credentialing verification.
Tracking and maintaining eligibility info.
Serving contracted HMOs and providers.
Ensuring quality outcome of care and services.
Managing healthcare services to IPA members.
MedPOINT Management, Inc. (MPM) provides comprehensive management services to Independent Practice Associations (IPAs) and Health Care Networks focusing on a personalized approach to meet each of our client's needs. MPM delivers a sophisticated level of healthcare management by integrating advanced technological solutions with a cadre of seasoned, knowledgeable staff. MPM has proven expertise in successfully managing diverse health networks in a rapidly changing environment along with the inherent challenges associated within the industry and the population served. Innovation and a commitment to high quality cost effective care contribute to the overall satisfaction of our clients and their patients.
Founded in 1996, MedPOINT represents a client base of over 3,500 contracted physicians throughout Los Angeles, Fresno, Kern, Kings, Madera, Merced, Riverside, San Bernardino, San Joaquin, Stanislaus and Tulare counties. MPM is responsible for coordinating care for over 480,000 covered lives through various payor mixes and multiple Health Plans including Commercial HMO, Government Funded Programs (AIM, Healthy Families, Healthy Kids and Medi-Cal) Medicare Advantage and Medi-Medi Products.
Understanding the power of information, MedPOINT has invested in advanced IT systems empowering our management, clinical, and administrative staff with the tools to work efficiently in coordinating high quality, cost effective, integrated care. The ability to readily track and trend utilization data has been a vital component in improving overall health management; impacting the delivery of chronic and episodic care, yielding favorable health outcomes, and enabling our networks to achieve Health Plan required measures for HEDIS and Pay for Performance incentives.
MedPOINT's services are consistently delivered with the same high quality that has built our reputation. Flexibility, innovation and an openness to change, are what the future demands of us as the nation moves into a new era of Health Care reform. The services MedPOINT is developing today will add value to the organizations we work with now and in the future.