Concierge Member Advocacy & Medical Cost Containment

MedWatch provides solutions that deliver superior member advocacy while maximizing the clinical and financial outcomes for the plan and plan members.

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The MedWatch Difference

For over 35 years, MedWatch has partnered with clients to develop innovative and effective solutions to address their needs. By mitigating risk within the plan population and focusing on quality care and improved outcomes, MedWatch reduces healthcare expenditures for the plan and plan member.


Expertise & Experience

Expertise & Experience

MedWatch engages clients through dedicated account management teams to monitor program performance and service satisfaction to continually exceed expectations.

Number of Payers

100+

Client Tenure–
10 Longest Partnerships Average

22 years

Average Clinical Experience

20+ Years


Quality & Accreditation

Quality & Accreditation

MedWatch has maintained continuous URAC Accreditation in Health Utilization Management since 1997, Case Management since 2000, and Disease Management since 2007. The accreditation process validates compliance with nationally recognized standards that support improvement and innovation in care management and service delivery.

Medwatch-URACSeaHUM
Utilization Management
since

1997

Medwatch-URACSeaHUM
Case Management
since

2000

Medwatch-URACSeaHUM
Disease Management
since

2007


Financial & Clinical Outcomes

Financial & Clinical Outcomes

MedWatch saved our clients over $150 million dollars in Utilization Review and Case Management during 2023.

Utilization Management

savings ratio

5:1

Case Management

savings ratio

6.5:1

average across CM programs

Disease Management

savings ratio

10-20:1

Member Incentives Increase Savings Outcomes for incentivized programs

Comprehensive Services
Across the Healthcare Continuum

Low-Risk Preventive &
Advocacy Programs

Pathways Concierge & Member Advocacy

Cost & Quality Transparency Tools

In & Out-of-Network Claim Savings

Biometric Testing & Health Assessments

Lifestyle Wellness Management

Behavioral Health Support

Virtual Primary Care

24/7 Physician Telemedicine

Nurse Call Line

Mild-Risk &
Routine Programs

Medical & Surgical Precertification

Mental Health & Substance Abuse Precertification

Reference Based Pricing Advocacy Integration with Medical Management

Medical Necessity Review

Bundled Surgical Solutions

High-Cost Diagnostic Radiology Savings

Baby & Me Maternity Management

Moderate to High-
Risk Programs

Chronic Condition Case Management

Complex Condition Case Management

24/7 Diabetic Monitoring & Intervention

Pain Management

Mental Health & Substance Abuse Case Management

Bundled Pharmaceutical Solutions

Medical Transport Repricing

Intermediate Case Management

High-Risk &
Complex Programs

Medical & Large Case Management

Specialty Case Management

Kidney Care & End Stage Renal Disease

Dialysis Claim Savings

Oncology Care & Oncology Networks

Neonatal Case Management

High-Cost Drug Review

Transplant Care & Transplant Networks

Trauma & Rehabilitation Case Management

MedWatch Partner Kudos

Read what our Vendor Partners have to say!

MedWatch has been our trusted partner for concierge customer services for nearly 5 years.

MedWatch has been our trusted partner for concierge customer services for nearly 5 years. Their programs are unequaled in excellence and quality and their team of professionals continually strive to deliver high quality and affordable services that exceed expectations at every level.

MedWatch has been our most valued and trusted partner, and together we share the common goals of providing high-quality, professional telemedicine services at the best price in the industry

“24/7 Call A Doc and MedWatch have established a very successful partnership that began over 8 years ago.  MedWatch has been our most valued and trusted partner, and together we share the common goals of providing high-quality, professional telemedicine services at the best price in the industry for the benefit of our mutual clients and members.  We look forward to many more years of providing MedWatch and their clients with our best-in-class service.”

HST and MedWatch have cultivated a successful partnership over many years, capitalizing on each other’s services to improve patient care and reduce healthcare spend.

“HST and MedWatch have cultivated a successful partnership over many years, capitalizing on each other’s services to improve patient care and reduce healthcare spend. The Pathways Concierge service is a trusted advisor, helping members make informed decisions about their care. Through this relationship, we have created a tailored referenced-based pricing solution that helps members get the most out of their health plans. We are fortunate to have MedWatch at our side, sharing the common goal of ensuring members have access to high quality healthcare at the right price with the best possible experience along the way.”

I highly value our partnership with MedWatch. The impact on employee well-being has been remarkable, and the benefits are evident.

CuraLinc is truly grateful to partner with MedWatch to provide integrated EAP and mental health services to serve the needs of MedWatch’s diverse client base. The benefits of this partnership with MedWatch have been abundantly clear, and the impact on employees’ well-being has been tremendous.

The seamless integration of MedWatch’s medical management expertise with CuraLinc’s EAP services has been a game-changer for employees in need of support. With MedWatch’s medical guidance, and CuraLinc’s ability to act as a referral point where mental or behavioral health concerns are present, employees can receive comprehensive care that addresses both their physical and mental health needs. This partnership has resulted in a more holistic approach to healthcare, which has translated into better outcomes for employees and our clients’ organizations as a whole.

The dedication of the MedWatch team to providing quality care and the collaboration with our Care Advocates has been outstanding. They have shown a genuine commitment to the well-being of employees and have been highly collaborative in referring employees to mental health services within our program when appropriate. This has resulted in positive outcomes in employee health and productivity across several clinical categories.

Overall, I highly value our partnership with MedWatch. The impact on employee well-being has been remarkable, and the benefits are evident. The partnership has demonstrated a commitment to quality care and a dedication to the overall health of employees.

MedWatch and Bluebook create an unparalleled best-in-class service offering that delivers extraordinary value

Over the past two years, MedWatch has become a valuable conduit between Healthcare Bluebook and its stakeholders and mutual partners. MedWatch expertise in clinical risk management complements Bluebook’s intuitive offering, known for its simplicity, by providing an easily integrated single point of contact for our TPA and insurance plan partners, self-insured employers, enrolled members, and high-value providers, aligning them with the highest-value healthcare services in the market today. Together, MedWatch and Bluebook create an unparalleled best-in-class service offering that delivers extraordinary value in today’s competitive healthcare landscape.

Passionate People. Powerful Technology. Proven Results.

The MedWatch team is comprised of a team of expert clinicians with proprietary technology built to close care gaps. We provide comprehensive solutions that put the care back into healthcare.

All MedWatch technology is developed in-house to deliver top-class security that protects all medical information. Our URAC Accreditation for UM, CM, and DM is proof of our ongoing commitment to our clients to uphold our services to the highest quality standards.

Explore MedWatch Services

Click below to explore our other services.

Pathways Concierge

Utilization Management

Case Management

Disease Management

Claims Solutions

Ancillary Services

Direct Contracts

Exceeding Client Expectations

“To date, I have not found one item that MedWatch performs that is not up to the standard we expect. Everyone I have worked with at MedWatch knows what they are doing and gets the job done. And if I don’t say it enough, I truly appreciate all you and the team do for MGM.”

Helping Members Find Care

“I didn’t know where to start to find a physical therapist, but MedWatch helped me make an appointment with a provider through their Pathways Concierge. They gave me directions to the facility and explained how my benefits would apply to the appointment.”

Finding Solutions for Every Member

“When the MedWatch team reached out to me, I was about to start dialysis. They helped me understand my treatment options and worked with me to eventually improve my situation until I could do dialysis from home.”