Toney Healthcare extended its partnership with St. Vincent Catholic Medical Centers Uniformed Services Family Health Plan (USFHP) to include the entire process of medical utilization management.
USFHP supports approximately 13,000 beneficiaries of the Department of Defense-sponsored TRICARE Prime program located in New York, New Jersey, Pennsylvania and Connecticut. TRICARE Prime is available to military families and retirees.
The companies’ two-year collaboration has centered around a dedicated team of nurses and physicians providing medical necessity review to ensure that USFHP members receive high-quality and appropriate care. The partnership is now expanding to include an entire suite of utilization management services spanning customer service, intake, case setup, clinical review, physician review, appeals and fulfillment to continue driving efficiency, quality and clinical consistency.
Toney Healthcare is also working closely with USFHP on technology transitions that will further enable the health plan to better support its members and provider community. Read more.
