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Evidence-based Specialty Benefit Management
 
    Evidence-Based Specialty Benefit Management  
  Radiology Radiology
CareCore Radiology works with each client to strategically identify opportunities to improve utilization and enhance quality through seamless solutions that integrate all aspects of patient centered care


Radiation Therapy Radiation Therapy
Address appropriateness of technology, treatment plan goals, standards of care and billing of radiation therapy services.
 
  Cardiology Cardiology
CareCore Cardiology provides health plans with comprehensive high-quality and cost-effective programs for cardiac care including benefit management of cardiac imaging and implantable devices.


Lab Management Lab Management
The first comprehensive lab management program linking evidence based medical guidelines with test specific payment policies for molecular and genetic testing, anatomic pathology and clinical laboratory testing.


 
  Oncology Oncology
Management tools focused on reimbursement and utilization management of oncology drugs and high-cost injectable and chemotherapeutic agents.


Pain Management Pain Management
Maximize care delivered to patients with actute and chronic pain using criteria developed from best practices and the most current evidence.
 
  Sleep Management
Sleep Management
Quality and utilization management of sleep diagnostic and therapeutic services.
     
 
       


URAC     Accredited Health Utilization Management NCQA Certification     Utilization Management
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Current News
CareCore National Program Tackles Rising Cost of Laboratory Services
CareCore National Expands Expertise into Interventional Pain Management
Aetna Outpatient Radiation Therapy Program Effective 6/1/2010
CareCore National Unveils Radiation Exposure Online Resource
Fallon Community Health Plan Sleep Management Program Effective January 1, 2010
CareCore National Recognized as Thought-Leader in Virtual Computing Environment by Technology Giants EMC, Cisco and VMware
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