Magellan’s Cardiac Solution manages a broad spectrum of cardiac procedures including:
Diagnostic cardiac procedures
- Nuclear stress/MPI
- Stress echo
- CCTA
- Echocardiography (TTE/TEE)
- Cardiac catheterization
- FFR-CT (optional)
Interventional cardiac procedures
- Defibrillator
- Pacemaker
- Cardiac resynchronization therapy
Our solution also includes:
Clinical Expertise
Applies evidence-based guidelines to promote the most clinically appropriate approach, based on patient symptoms and medical/imaging history.
Cardiologist Reviewers
Features peer-to-peer consultative support for providers, conducted by board certified NIA cardiologists.
Next Generation Review Process
Incorporates review of actual medical records and can include digital image review to assess medical necessity more effectively.
Flexibility
Offers the flexibility to customize the program based on the needs and preferences of your health plan and markets.
Magellan’s Cardiac Solution can achieve savings of up to $0.50 PMPM for health plans while ensuring quality and clinical appropriateness. If you would like more information about Magellan’s cardiac solution, please contact us at gensales@magellanhealth.com.