Health Choices provides you with a range of medical management choices
through our local Health Care Services staff of registered nurses who
operate under the direction of a Chief Medical Officer. You can customize
how much or little Health Care Services are applied to your employees
and their dependents. The goal of the local Health Care Services staff
is to provide access to quality health care that is convenient to the
patient yet cost effective. They also provide the coordination of care
necessary between the patient, physician, hospital, home health agency,
and other care alternatives.
- Pre-Admission Authorization
Processing notifications of upcoming hospital stays or emergency admission
to review medical necessity.
- Concurrent Review
All cases are followed by Health Care Services on a concurrent review
basis to monitor patient care and length of stay. Nurses visit Dubuque
hospitals daily and monitor others by phone.
- Discharge Planning
This process assists with feasible options for continued care and treatment
of the patient after hospitalization.
- Individual Case Management
Health Choices performs ongoing review of available treatment options
while working with physicians and other providers. The ultimate goal
is to provide quality care as cost effectively as possible.
- Access to an organ transplant network
Offers substantial savings on claims.
- Tertiary Network
Health Choices has access to Medical Associates Health Plans preferred
tertiary provider network. This affords your plan with more buying power
when your employees require care needed at the University of Iowa Hospitals
& Clinics, Iowa City, or the University of Wisconsin Hospitals &
Clinics, Madison. You get the cost savings of the Health Plan contract