Summit ReSources

Medical Management Services

Client-specific Summit ReSources solutions create value for clients by reducing the frequency and severity of catastrophic claims. These consultative care management services work toward maximizing clinical outcomes through employing evidence-based, cost-effective interventions.

Summit ReSources offers the following components, which clients may access as needed:

  • Medical management consultation
  • Care management
  • Comprehensive medical management evaluation
  • Cost management services, including
    • Bill analysis
    • Provider contract analysis, comparisons and recommendations
    • Claim negotiations (in- and out-of-network)
    • National PPO access
  • Negotiated rates for specialty services, such as
    • Organ and tissue transplantation
    • Neonatal management
    • Chronic kidney disease
    • Congenital heart disease
    • Bariatric surgery
  • Training and education

Most services are offered to clients free of charge or on a percent of savings basis. To learn more about medical management services available through Summit ReSources, contact us.