Qualis Health signs multi-year contract to provide utilization management of inpatient hospital services
BIRMINGHAM, Ala. — Qualis Health has signed a contract renewal with the Alabama Medicaid Agency (the Agency) to conduct retrospective hospital inpatient quality reviews, review hospital internal utilization review plans and medical care evaluation studies, and review provider preventable conditions for the approximately 122 facilities in the state’s hospital network. The Agency administers a comprehensive array of health care services and programs in order to provide ready access and high-quality care for more than 1,000,000 Medicaid recipients.
“Our staff is very dedicated and committed to excellence as we review inpatient retrospective admissions and continued stays based on patients’ needs in the clinical situation,” said Anette Ivory, RN, B.S.N., M.P.P.M., director of Qualis Health’s care management services. “We are looking forward to continuing our collaboration with everyone in the hospital provider network to improve health care and support the needs of our fellow Alabama residents.”
“Qualis Health strives to improve value in the health care system by ensuring the delivery of high-quality clinical services at a reasonable cost,” said Marci Scott-Weis, RN, M.P.H., CCM, chief operating officer. “We are pleased to assist the state of Alabama to accomplish their vision of ensuring availability and access to appropriate health care for all Alabamians.”
Qualis Health also provides utilization management and quality review services for the Alaska, District of Columbia, Idaho, Kansas, New Mexico, Washington and Wyoming state Medicaid agencies.