The AIM Surgical Procedures Solution is a surgery benefits management program that manages high-volume outpatient procedures, like upper and lower endoscopy. Our solution drives value and high-quality, patient-centric care by ensuring clinical appropriateness of select procedures and their setting and by providing members cost and quality transparency at exactly the right time.
We address frequently overutilized surgical procedures, like:
We optimize the site of care across many clinical areas, including:
Merged seamlessly into provider workflows through the AIM ProviderPortalSM, our surgery benefits management solution’s automated clinical review process makes sure your members undergo select procedures only when and where it’s clinically appropriate. Here’s how it works.
Streamline provider requests
Enables providers to easily submit requests for care online
Gain clinical assurance
Autoreviews the request for clinical appropriateness, using clinical criteria, your policy, or both.
Clinicians are available for cases that do not meet clinical criteria
Prioritize evidence-based care
Directs care to the right test, treatment, or setting
Close the loop
Integrates with your technology for claims, care management, and reporting
An experienced team of physicians and nurses lead and support our Surgical Procedures Solution. Their expertise across numerous clinical specialties expands your organization’s clinical brainpower and acumen immediately. It also reinforces your clinical credibility and accelerates acceptance among your providers.
Thomas Power, MD, is the Senior Medical Director of Cardiology, Sleep Medicine, and Surgical Procedures for AIM. Dr. Power is responsible for the clinical components of the Cardiology, Sleep, and Surgical Procedures Solutions.Read More about Dr. Power