Client Success Stories

Valley Medical Center

Efficiency gains, improved payer relations to transform UM

Kim Petram, Director of Case Management at Valley Medical Center in Renton, Wash., transformed utilization management and started seeing results within the first month – moving from 60% to 100% of daily case reviews, right-sizing observation rates, improving payer relations, and more through CORTEX.

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Valley Medical Center

Doylestown Health

No Downside in Looking for a Better Way to Do UR

Mary Beth Mitchell, Senior Executive Director, Care Transformation Strategies, knew there was a better way to approach Utilization Review (UR) at Doylestown Health. Three years and over 7X ROI later, their investment in data-driven utilization review has paid for itself.

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Hillcrest HealthCare System

Getting to Right

Rikki Moye, the VP of Case Management at Hillcrest, built the Right Care Case Management Model which prioritizes cases using CORTEX's artificial intelligence technology and real-time data collection. Read more on how her model impacts results.

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Legacy Health

Gauging the True Effectiveness of Utilization Review

See how Legacy Health, a health network in Portland, OR, used CORTEX to increase productivity and Improve accuracy within their utilization review process.

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Covenant Health

Connected, Collaborative, Centralized UM

The Covenant Health system, based in Knoxville, TN, used CORTEX to reduce denials and automate relationships with their payers. Read more to see the increasing ROI that Covenant realized as a result of implementing CORTEX.

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Springhill Medical Center

Elevating and Connecting the Utilization Review Process

Springhill Medical Center turned to XSOLIS for a utilization review partner whose process focuses on the patient. See how we were able to bring patient-centered results to their process.

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Citizens Medical Center

Forward-thinking Leader Finds Partner in XSOLIS and Mobilizes an Organization

Citizens Medical Center went from a complex, inefficient case management process to a streamlined, patient-focused framework put in place by XSOLIS. See how their partnership with XSOLIS has impacted the organization.

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MultiCare Health System

Positioning MultiCare Health System to Lead an Industry

The MultiCare Health System team wanted software to create efficiency and a partner to help them build a lasting framework for case management and physician advisors. See how XSOLIS helped them achieve their goals.

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Chesapeake Regional Healthcare

Making the "Shift" Away from Traditional Screening Criteria

Chesapeake Regional Healthcare used a traditional, manual-intensive process to execute its utilization review. See how XSOLIS helped them facilitate a shift away from the inefficiency of the past to have a positive impact on the organization.

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Colquitt Regional Medical Center

How XSOLIS' Denial Resolution Services Recovered a 700% Return on a Single Claim

Colquitt Regional Medical Center saw the burden of denials firsthand. Read more to see how XSOLIS helped revamp their denial resolution process and gave them a case to recoup their losses for past denials with our denial resolution services.

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Carle Health

Taking A More Thoughtful and Evidence-Based Approach to Utilization Review

Carle Health’s results from utilizing the XSOLIS platform aren’t  just quantitative. According to Carle Health, partnering with XSOLIS “gives nurses a chance to be nurses.”

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