Summit ReSources

Managed Care 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.