Our team of healthcare professionals and administrators, located worldwide, offers a comprehensive range of outsourced clinical and non-clinical administrative services to our clients.

From routine to emergent care, each service is customized to enhance both qualitative and quantitative health outcomes. We are committed to delivering exceptional service to our clients through our expert team of professionals.

Case Management

DMH understands that case management is a dynamic process which involves assessing, planning, implementing, coordinating, monitoring, and evaluating care to improve outcomes, experiences, and value for our members.

How do we do this at a cost-saving to you?

Our case managers do the following:

• • • • • Routinely oversee hospitalizations and manage member discharges
        • Work closely with primary care providers to ensure that the best level of care is achieved post-discharge
        • Update case notes, provide authorization numbers, and facilitate transportation and transfer between hospitals and skilled nursing facilities

24/7 Nurse Triage

DMH understands that 24/7 nurse triage services are a KPI in the patient-first model of care. By providing access to care when it is needed by a licensed nurse, there is cost-savings from avoiding unnecessary emergency department visits or business-hours-only care. 

This is why we offer this service in partnership with employers, health plans, physician practices, nursing homes, and health systems.

Our 24/7 nurse triage service includes multilingual services by a licensed nurse in the following areas:

Advise on how best to care for yourself

Evaluate treatment options

Determine if an emergency department visit or business-hours only care is needed

Utilization Management

DMH understands how utilization management costs can rise. We have a dedicated team who follows evidence-based care guidelines and will analyze the necessity of care on a case-by-case basis as it aligns with the members’ health benefits plan. 

To address this, DMH’s UM service offers the following:

Evaluation of the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities 

Coordination of doctor's appointments, transportation needs, and hospital discharges ensuring that our members receive the care they need in a timely and efficient manner

Review of member eligibility, verification of copayments, and guide members on the appeals and grievances process

Condition Monitoring (e.g. Diabetes)

DMH understands that management of chronic conditions can be a financial and emotional burden for healthcare professionals and patients. 

DMH offers an evidence-based clinical program for diabetes management that utilizes device readings and encounter data to provide real-time visibility into glycemic control.

Our program provides digital health tools under the guidance of highly trained clinicals to achieve the following:

Eliminate guesswork -> real-time glycemic readings -> real time glycemic control 

Customize member engagement -> concierge-level of personalized care 

Guide necessary clinical interventions -> help members or patients achieve better health and well-being 

Reduced costs -> improve clinical outcomes -> increased provider satisfaction 

Health Coaching

DMH understands that members or patients benefit from one-to-one health coaching. Day-to-day struggles of self-care, especially for chronic conditions, often need additional on-the-ground support. 

Our health coaches are credentialed and trained to guide your members or patients towards improved health outcomes with techniques such as motivational interviewing and clinical interventions. 

Use of these techniques are accompanied by health risk assessments and coordination of care across the interdisciplinary care team to evaluate conditions and services that are tailored to their specific needs. 

Health Risk Assessments

DMH understands the value of the health risk assessment.

Why is the Health Risk Assessment valuable?

Industry-standard in the field of health promotion

Front-line tool in assessing an individual person’s likelihood of positive health outcomes

Statistically significant data from across similar patient groups can be used as baseline KPIs for specific health outcome

DMH’s Health Risk Assessment captures the following data points:

Medical history

SDOH (social determinants of health)

Lifestyle choices that affect their health such as smoking status and activity level

AADLs (activities of daily living; ambulating, feeding, dressing, hygiene, continence, toileting), additional ADLs which may be reviewed include managing finances and medications, food preparation, and housekeeping

Pains throughout the body, recent hospitalizations, and preventative care measures. 

When does DMH administer its Health Risk Assessment?

Initially upon enrollment 

Annually

After any transition of care

Intake Coordination

DMH understands the laborious process of onboarding members. This is why DMH offers Intake Coordination services. 

Our Intake Coordinators do the following so you don’t have to:

Conduct initial screenings of complex case management referrals

Confirm services

Ensure that all documentation is clear, concise, and meets regulatory and client standards

Transitional Care (Post Discharge)

DMH understands that the quality of transitional care services can greatly impact health outcomes. 

When are transitional care services advised?

Transitioning from one phase of treatment to another, such as moving from hospital to home care

Experiencing multiple health conditions which require healthcare services in various settings 

Ensuring successful transitions from child to adult health services

Medication Therapy Management

DMH understands that medication therapy management is a challenge for many members and patients. To lessen this burden, we offer medication therapy management (MTM) services that are tailored to meet the specific needs of each Plan.

Our services include:

An in-depth discussion between a pharmacist or healthcare provider and the member to review their medication profile

Members receive a thorough review of their medications and are educated on proper medication adherence to ensure they are taking their medications as prescribed

Population Health Management

DMH understands how data drives outcomes. With the use of this value-based model, we employ industry-standard principles; incentivized contracting for increased compensation, shared decision-making at the clinical level, and tech platforms for accurate data management. 

To support our goal of enhancing members’ lives, we align ourselves with these principles on our continuum of Population Health Management and provide the following services:

Health Coach (Care Management)

Care Coordination

Health Risk Assessments

Transition of Care

Nurse Advice Line

Disease Management

Medical Management

DMH understands that medical management can weigh down your workflow. To support you, we offer a team of experienced clinicians who conduct authorization services according to your medical criteria.

Our team works with your providers to ensure an effective cost-control process that is consistent and timely, by providing you with the following:

UM Intake for both Inpatient and Outpatient

UM Outpatient Clinical Reviews/Prior Authorization

Discharge Planning

Inpatient Concurrent Review

Home Health Reviewers

Emergency Department Care Coordination