Helping People Live Their Healthiest Lives
Telligen is a trusted partner for U.S. government health agencies, state Medicaid agencies, self-funded employer and Taft-Hartley health plans, and managed care organizations, improving health outcomes for millions of people nationwide through proven health management solutions and healthcare expertise.
TRUSTED TO DELIVER RESULTS
Federal
Telligen provides quality improvement, data analytics, quality measures, program management, and HIT solutions and services to federal health agencies and national programs.
state
Telligen helps state governments and programs ensure appropriate utilization management of healthcare services, improve clinical outcomes for patients and manage healthcare costs.
employers & self-funded plans
Telligen partners with self-funded employers, unions, Taft-Hartley health plans, and their brokers and consultants to improve the health and well-being of the workforce.
health plans
Telligen assists health plans specializing in Medicare Advantage, Medicaid managed care and marketplace services by providing solutions to help improve the health of individuals deemed most vulnerable.
Telligen is proud to announce it has been awarded the National Committee for Quality Assurance Population Health Program Accreditation in recognition of our robust infrastructure, procedures, and personnel, specifically in the realm of population health.
latest news
Getting Upstream of Fraud, Waste and Abuse
Understanding FWA and the HCBS Vulnerability There is a lot of focus in the healthcare market currently on fraud, waste and abuse. But let’s start with a more basic question: What is fraud, waste, and abuse in healthcare? Simply stated, fraud is an intentional lie to...
New Podcast Episode: The Great Quality Remix
(Click the episode title to hear the full episode on Spotify) Lauren Zellmer, MSN, RN, Director of Clinical Operations at Telligen, joins us for a...
Appropriate Levels of Care within Behavioral Health
When an employee member faces a mental health crisis, where do they go? For many, the only options they consider are either weekly outpatient care...
The Great Quality Remix
Healthcare Intelligence is a content series dedicated to exploring the latest trends, news and research across the entire spectrum of health and...
Medicare: From Single Program to Dynamic Healthcare Ecosystem
Medicare has evolved significantly since its creation in 1965, growing from a single federal health insurance program into a complex healthcare ecosystem shaped by private plans, data-driven care models, evolving regulations, and changing patient needs. Medicare: From...
Qualitrac 2026.01 Updates and Enhancements
Telligen is excited to announce its first 2026 update on enhancements made to our latest Qualitrac release (2026.01). Our clinical and technical...
Telligen Wins Award for Innovative Blue Ribbon Prior Authorization Program
The following release was published on March 24, 2026 by MCG Health announcing Telligen as the recipient of the Richard L. Doyle Award for...
Latest Qualitrac Updates and Enhancements
Telligen is excited to announce its final 2025 update on enhancements made to our latest Qualitrac release (2025.04). Our clinical and technical...