Test Utilization Management

Advancing the stewardship of lab testing utilization will typically result in a 10% -15% cost reduction and unmeasured improvement to quality outcomes as well as further align payers. Each time a clinical laboratory can contribute to improved patient outcomes while helping reduce the cost of care is a win-win for both the laboratory and health insurers. NMG has the proven experience and methodology to guide your laboratory in improved test utilization practices.

Utilization management is a key factor in maintaining a profitable and cost-conscious laboratory.

On average laboratory testing is over-utilized by at least 20%. NMG has vast experience in assisting laboratories in identifying ordering trends and identifying unique strategies to improve ordering practices and aligning physicians to improve care while reducing costs. We perform audits that will help identify multiple areas of potential testing improvement, such as testing menu optimization, improving order entry via best practice alerts, high-dollar reference test management, duplicate test reductions and frequency of common testing.

Our team of experts have the tools to implement a collaborative utilization management program that includes policies and procedures, authorization forms and ongoing quality metrics for improved patient outcomes.

Each time a clinical laboratory can contribute to improved patient outcomes while helping reduce the cost of care, it is a win-win for both the laboratory and health insurers. NMG has the proven experience and methodology to guide your laboratory to improved test utilization.
NMG has the expertise to guide your laboratory in providing more appropriate and less costly testing. Aligning physicians to better manage clinical testing through important change management skills sets NMG apart in our advisory services.