Bringing together clinical and technical expertise to turn data into knowledge and knowledge into action.

Products & Services | State & Municipal Employers

Products & Services | State & Municipal Employers

Telligen is truly a unique organization as we bring clinical, analytical and technical expertise together to turn information into action to improve the quality and reduce the cost of healthcare. WIth over 40 years of experience our team is dedicated to the development and delivery of innovative health management solutions to assist clients in successfully navigating the complexities of healthcare. At Telligen we see our role as advocates for your members. That means we promote the highest quality of care available through the health plan, while empowering self management through education and support. Telligen offers their clients a full range of flexible and customized solutions.

Telligen's full suite of tools includes:

Utilization Management – Telligen's Utilization Management promotes quality by following national evidence-based guidelines to establish medical necessity of medical services. Healthcare providers and members benefit because the review ensures members receive appropriate services at the right time and for the right duration of time.

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Case Management – Telligen's Nurse Care Managers provide the expertise necessary to coordinate the most complex and/or high-risk cases. An individual nurse will work with your members and the treatment team to implement a cost effective  high quality of care.

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Disease Management – Telligen's Nurse Health Coaches build relationships with your members to promote and teach self management skills, coordinate their healthcare treatments and engage providers on evidence-based practices and your members progress. Members are identified using our advanced predictive modeling tool.

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Maternity Management-- Telligen's Maternity Management Program provides risk assessment, education and management to address health risks to prolong the gestational age at delivery and improve the birth weight thus preventing premature births and long lengths of stay in the neonatal intensive care units.

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Network Solutions – Telligen, through a competitive analysis, has established partnerships with nationally recognized organizations. These value added partnerships provide significant savings for the health plan and reduced out of pocket cost for your members. These partnerships include renal dialysis network, national diagnostic imaging network, cost containment strategies, wellness offerings and third party administration services.

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