Ensuring Cost-Effective Patient Treatment

EnvoyHealth offers comprehensive medical management services to lower payor costs.

Site-of-Care Optimization

EnvoyHealth compares pricing in the health care provider’s office, specialty pharmacy, hospital outpatient setting, ambulatory infusion suite, and home setting to identify lower-cost sites of care for patients.

Utilization Management

EnvoyHealth can customize, administer, and manage programs tailored to drive appropriate utilization.

Oncology Medical Management

EnvoyHealth can provide monthly reviews of all oncology claims under the medical benefit and offer recommendations on clinical appropriateness, dosing, and reimbursement levels. We can also facilitate peer-to-peer interventions with oncologists based on claims requiring clinical clarification. Our clients typically save 12–15 percent of overall oncolytic spend through oncology medical management.