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Qualis Health: WSIA's preferred vendor for Utilization Management

Improving health care for Washington's injured workers

WSIA has selected Qualis Health as our preferred provider of Utilization Management services for self-insured employers. Qualis Health

Qualis has provided Utilization Management to injured workers in Washington state for more than a decade, completing hundreds of thousands of medical necessity reviews and delivering millions of dollars in cost savings.

Based in Seattle, Qualis Health has healthcare professionals licensed in Washington state, including physicians, who evaluate the appropriateness of requested healthcare services.

Qualis delivers proven Utilization Management strategies that help control costs for medical care and workers' compensation claims. Their evidence-based interventions improve adherence to clinical guidelines, while delivering timely and defensible decisions.

Utilization Management services

  • Impatient admissions
  • Select outpatient surgical procedures
  • Outpatient physical therapy and occupational therapy
  • Chiropractic and massage therapy
  • Advanced imaging, such as MRIs and CAT scans
  • Spinal injection procedures

Ready to get started?

Contact Laura Kubisiak, Vice President of Business Development at (206) 364-9700 or laurak@qualishealth.org.

Qualis is one of the nation's leading population healthcare management organizations, helping to transform care and improve care delivery and patient outcomes. Qualis works with clients throughout the public and private sectors to advance the quality, efficiency, and value of healthcare for millions of Americans every day.

Resources

Click to view/download:

Qualis Health Program for WSIA Members

PowerPoint slides presented at WSIA's March 17, 2016 Spring Conference explaining the UR program