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Improving THE quality and affordability of healthcare

 

Value-Based Surgery & Implant Device Management Solutions
Orthopedic | Spine | Pain Management | Cardiac

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Solutions to Improve the Quality and Affordability of Healthcare

TurningPoint Healthcare provides a comprehensive suite of innovative Surgical and Implantable Device management solutions that support health plans, employers and accountable care organizations to improve patient care and significantly reduce costs. We manage billions of dollars of surgical procedure charges annually with proven and effective results.

 

Phone

(855) 253-1100

 

Location

1000 Primera Blvd,
Suite #3160
Lake Mary, FL 32746

 

Hours

M-F 8a–6p


 

Proven Results: Quality, Safety, and Savings

The results of our programs consistently demonstrate meaningful reductions in the cost of care and help to improve patient safety and quality.

 
 
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Solutions

TurningPoint has developed an innovative and unique set of services and capabilities that enables us to work collaboratively with physicians, hospitals, surgery centers, and implantable device manufactures to better manage healthcare costs and quality than traditional utilization management companies.

 

Are you a Payer?

Whether you are a health plan, employer, or ACO trying to manage Surgical Procedures and Medical Device Costs, there have historically been very limited tools available to help you succeed. 

Are you a Provider of Care?

We can help Providers of Care navigate the significant challenges and complexity of the healthcare system, enabling them to provide high quality, cost effective care to their patients. 

Are you a Patient?

As a patient, understanding the complexities of the healthcare system is often a frustrating and expensive process that is further complicated by the limited tools and solutions available to support you.

Our Services

TurningPoint has developed an innovative and unique set of services and capabilities that enables us to work collaboratively with physicians, hospitals, surgery centers, and implantable device manufactures to better manage healthcare costs and quality than traditional utilization management solutions.

 
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We help payers to Significantly Reduce Healthcare Costs

  • Reduce clinically inappropriate utilization of surgical procedures, biologics, and implantable devices

  • Optimize implant costs and therapeutic interchange opportunities

  • Enhance provider contracting and management capabilities

  • Promote quality based site of service optimization

  • Enable enhanced analytics and implant cost transparency

  • Improve claims payment accuracy and controls

  • Surgical cost transparency and education for Patients

  • Episode, Bundled Payment, Carve-out and Fee-for- service solutions

  • Identification and management of high risk patients

  • Reduced readmission, revision and patient complications costs through better outcomes and improved quality


We Improve Safety, Quality and Affordability for your members

  • Product recall and safety monitoring

  • Implantable Device and Biologics manufacturer accountability

  • Evidence based treatment plan management and interventions

  • Clinical transparency and measurement support tools

  • Surgical best practices and comorbidity management

  • Improved outcomes

  • Lower out of pockets costs


We Work collaboratively with Physicians, Hospitals and Surgery Centers

  • Reduced administrative work for doctors and practices

  • Pay for performance awards

  • Enhanced network support

  • Practice analytics and performance monitoring tools

About us

Industry Leaders & Clinical Experts

 
 
 
 
 

The foundation of our company is TurningPoint’s industry leading clinical staff and executives. Our team of highly specialized Industry Experts, Medical Directors, Peer Reviewers, and Clinicians have an unparalled level of depth, expertise, and passion for clinical excellence:

  • Four former presidents of the American Academy of Orthopaedic Surgeons (AAOS)

  • Former presidents of the American Board of Orthopedic Surgery

  • Past president of the North American Pediatric Society

  • Two of AAOS’s former Board representatives to CMS for all Spine related billing and coding changes

  • Multiple past regional and state orthopedic association presidents, including the former President of the New Jersey Orthopaedic Association, and AAOS Board Members

  • Former Chief of Staff for the Houston Shriner’s Children Hospital

  • Past President and Current Board Member of the North American Spine Society

TurningPoint manages 23 million covered lives throughout the country. We are a compliance-driven, trusted partner to health plans, certified by NCQA, URAC and HiTrust.

 

Contact Us

Whether you are a provider of care or health insurance, or just a patient looking for more information on what we do, we're here to help.

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Our Office

1000 Primera Blvd.
Suite 3160
Lake Mary, FL. 32746

(855) 253-1100

 
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