Alliant Health Solutions, formerly Alliant GMCF, has continuously served the Georgia Medicaid program since 1972, providing a vast scope of professional healthcare services.
- Utilization Management ensures appropriate allocation of resources through evaluating the medical necessity and appropriateness of services. This includes prior authorization and concurrent and retrospective reviews, utilization trend analysis, and medical policy consultation.
- Program Integrity services ensure program compliance and appropriate payments, including fraud and abuse detection analysis; onsite program compliance audits, surveillance and utilization review studies and record reviews; and provider education to improve compliance.
- Quality Improvement services focus on improving the care and health of the populations we serve. This includes quality improvement projects; program evaluation and consultation; quality measure data collection and analysis; and provider education.
At Alliant, our employees understand the ever-changing healthcare environment and work to create solutions tailored to our clients’ needs. With a large panel of practicing physicians, pharmacists, dentists and allied health professionals representing more than 70 specialties, we provide a comprehensive approach to managing populations and program services–keeping in line with current evidence-based standards of care and clinical guidelines.