| Companies and individuals who are concerned | | | | an IRO assures that no unnecessary treatments |
| about making sure that their members and | | | | are authorized are burdening and adding costs to |
| patients get the proper healthcare are increasingly | | | | the health care system in general. An independent |
| looking to independent review organizations to | | | | review organization provides a critical look at the |
| help them make crucial decisions about the | | | | nexus of the health care decision-making chain in |
| allocation of healthcare resources according to the | | | | order to improve the delivery of healthcare to all |
| highest level of need.Independent review | | | | members and patients in a health plan.About |
| organizations can help this process by providing | | | | AllMed Healthcare Management Founded in 1995, |
| for a systematic review of all complex and costly | | | | AllMed is a URAC-accredited Independent Review |
| medical claims to determine whether or not the | | | | Organization (IRO) serving insurance payers, |
| treatments that have been prescribed are | | | | providers, TPAs and claims managers nationwide. |
| medically necessary, are appropriate, and are | | | | Reviews are conducted by board-certified |
| aligned with the accepted standards of care. | | | | physicians in active practice. AllMed's growing |
| Independent review organizations are playing an | | | | customer base for its independent medical review |
| increasingly important role in containing escalating | | | | and hospital peer review services includes premier |
| healthcare costs by assuring that health care | | | | organizations, such as Educator's Mutual Life, IMS |
| resources are only allocated to those patients and | | | | Managed Care, Tenet Healthcare Corporation, |
| members who actually deserve them. | | | | HealthGuard, several Blue Cross Blue Shield |
| Independent review organizations provide a key | | | | organizations, TriWest Healthcare Alliance, Allianz |
| balancing force between payers and patients to | | | | and many other leading healthcare payers. Read |
| assure that patients get the healthcare that they | | | | the AllMed Medical News Blog and the Independent |
| are supposed to every time. At the same time, | | | | Review Organization Blog. |