Utilization Management

Applying evidence-based clinical review to support appropriate care and responsible plan administration

Protecting the Plan.
Supporting Members.
Ensuring Appropriate Care.

Innovative Care Management’s Utilization Management program helps plans protect benefit assets while ensuring members receive clinically appropriate, high-quality care. Our approach helps plans fulfill their fiduciary responsibility, ensuring appropriate plan administration and thoughtful use of plan assets, while keeping patient-centered, evidence-based decision-making at the forefront. These two are not at odds.

Clinically Focused. Accredited. Independent.

Through ICM’s URAC Health Utilization Management-accredited program, experienced nurses and physicians apply nationally recognized clinical guidelines to support utilization management decisions.

As an independent organization, ICM provides utilization management services that are transparent, defensible, and designed to support the plan’s fiduciary responsibilities.

Utilization Management Services Include

Medical necessity review across pre-service, concurrent, & post-service care

Ensures care is appropriate, consistent, and cost-effective

Inpatient and outpatient utilization review

Applies the right oversight across all care settings

Level-of-care and length-of-stay management

Prevents overuse while supporting optimal patient outcomes

Early identification of high-cost and high-risk episodes

Flags costly risks early to enable timely intervention

Collaboration with providers to support appropriate care delivery

Aligns providers with evidence-based, appropriate care

Physician and specialty reviews

Adds expert insight for complex or specialized cases

Seamless referral to care management, clinical navigation, or transitions of care when additional support is needed

Connects members to the right support at the right time

Medical necessity review across pre-service, concurrent, & post-service care

Inpatient and outpatient utilization review

Level-of-care and length-of-stay management

Early identification of high-cost and high-risk episodes

Collaboration with providers to support appropriate care delivery

Physician and specialty reviews

Seamless referral to care management, clinical navigation, or transitions of care when additional support is needed

This integrated model allows utilization management to function as a clinical intervention point, not a standalone administrative process.

Member-Focused by Design

While utilization management plays a critical role in cost containment, ICM recognizes that members experience utilization decisions personally. Clear communication, timely determinations, and respectful collaboration with providers help reduce confusion and frustration for members—supporting adherence to care plans and better outcomes.

When appropriate, utilization management findings are seamlessly connected to other clinical programs, such as case management or transitions of care, ensuring members receive the support they need beyond the authorization decision.

Protecting the Plan Through Better Care

Effective utilization management is not about denying care—it is about ensuring care is appropriate, necessary, and delivered efficiently. When care is clinically sound and well-coordinated, plans benefit from lower unnecessary spend, and members benefit from safer, more effective care.

ICM Utilization Management Services in Action

Case Study1

How We Reduced Inpatient Length of Stay Through Early Discharge Planning

During concurrent utilization review for an inpatient admission, an ICM nurse identified opportunities to support earlier discharge planning. By collaborating directly with the hospital care team, the nurse helped align discharge needs, post-acute services, and clinical readiness sooner in the stay.

As a result, the member was safely discharged several days earlier than initially projected, avoiding unnecessary inpatient days while maintaining appropriate follow-up care. The intervention reduced hospital costs for the plan and supported a smoother transition home for the member.

Case Study2

How We Helped Identify the Most Appropriate Care Path for Hip Replacement Surgery

During pre-service utilization review for a planned hip replacement, an ICM nurse identified that conservative treatment options had not yet been fully explored. The nurse worked with the provider to review clinical guidelines and discuss appropriate next steps.

The member was directed to outpatient physical therapy prior to surgery and responded well to conservative treatment, with improved function and symptom control. As a result, surgery was avoided, eliminating an unnecessary procedure and associated costs while supporting a positive outcome for the member.

Additional Services to Consider

ICM’s Utilization Management solution is particularly effective at controlling costs while supporting member well-being when combined with the following services.

Member Engagement Services

Help members use their coverage effectively with member navigation, integration support, external vendor outreach and single point of contact concierge services.

Case Management Services

Provide guidance during experience or complex claims with case management, chronic condition management and maternity management.

Chiropractic Utilization Management

Provides prospective and retrospective medical necessity review, ideal for plans with generous coverage for chiropractic services.

Frequently Asked Questions

How is success measured in utilization management?
Success is measured through a combination of utilization trends, cost avoidance, adherence to evidence-based guidelines, member outcomes, and plan-specific goals. ICM works with each client to ensure reporting aligns with what matters most to the plan and its stakeholders.
Preauthorization requirements are based on plan design and informed by evidence-based clinical guidelines and utilization trends. ICM works with each plan to apply preauthorization where it provides the most value—focusing on services that are high-cost, high-risk, or frequently overutilized—while avoiding unnecessary administrative burden for members and providers.
ICM believes quality care is cost-effective care. Our utilization management decisions are made with clinical integrity and communicated clearly to members and providers. When additional support is needed, members can be connected to case management or transitions of care programs to help ensure continuity and positive outcomes.
ICM collaborates with providers through timely communication, clinical dialogue, and clear rationale for utilization decisions. Our goal is to support appropriate care delivery while minimizing administrative burden and avoiding unnecessary friction.

Members can expect clinically guided, respectful reviews focused on ensuring care is medically necessary and provided at the appropriate level. ICM communicates decisions clearly and in a timely manner.

If a service is not approved, ICM provides a clear explanation of the decision and the clinical rationale for the determination. Members and providers are informed of available options, including the process for requesting an appeal.