Qualis Health has successfully provided health utilization management, nurse case management, and other healthcare quality improvement services to Medicaid agencies in a number of states since 1979. The outcomes we have achieved for these Medicaid agencies demonstrate the ability of Qualis Health to improve quality while managing costs.

Qualis Health is responsible for providing care management services to almost one million clients through our Medicaid contracts. This depth of experience providing traditional medical review and case management services to ensure appropriate utilization of healthcare services, coupled with our quality improvement work as a Quality Improvement Organization (QIO), makes us an ideal partner for Medicaid agencies interested in operating a program that manages costs, improves access, and promotes/monitors quality of care.

Qualis Health’s 30-plus years of utilization management and quality improvement experiences related to both chronic and catastrophic needs allows us to deliver a full spectrum of services to the Medicaid population. We have extensive experience providing services ranging from individual reviews that ensure quality of care, to population interventions aimed at achieving systemic changes.