Our Solutions

ConsumerMedical is a pioneer in treatment decision support and expert opinion programs, leading the industry in clinical outcomes, financial savings and participant satisfaction. We offer two solutions:

Ally Complete Support

Our flagship solution; integrates medical decision support, evidence-based clinical information and expert opinions to support patients throughout their healthcare journey.

Ally Expert Opinion

Connects patients to the highest quality medical experts to confirm current diagnosis and treatment plans, and consider alternative treatment options.

ConsumerMedical also offers a variety of additional services that enhance our primary solutions: Claims Advocacy: Predictive Outreach: Claims-Based Savings and Analysis Self-Service Provider Selection Tool.

Ally Complete Support

Integrates high-touch medical decision support and all Ally Expert Opinion services into one comprehensive solution that supports patients throughout their healthcare journey—for all conditions.

Medical Decision Support ®
  • High-touch support for ALL conditions; medical and behavioral health
  • Focus on high-cost and complex conditions
  • Multiple touchpoints
  • Evidence-based treatment information
  • Tailored questions to ask the doctor
  • Targeted Surgery Decision Support® program for high-cost, preference-sensitive conditions and procedures:

Hip and knee replacement
Lower back surgery
Hysterectomy
Weight loss surgery

Comprehensive Expert Opinion Support
  • In-Person Expert Opinion: Leveraging our physician quality algorithm spanning claims data from over 250 million patients on experience and outcomes for 96% of U.S. physicians as well as psychiatrists, psychologists, and social workers for behavioral health conditions, we can identify the highest-quality providers and match them to a patient based on their unique condition, preferences, and insurance coverage.
  • Remote Expert Opinion: Where a person lives should not impede their ability to receive an expert medical opinion from a specialist from one of the leading medical institutions in the country including Cleveland Clinic, Massachusetts General Hospital, Dana Farber Cancer Institute, Brigham & Women’s Hospital, McLean Hospital, and more. Remote Expert Opinions include medical records collection, radiology and pathology review, global support capabilities, and a 48-hour turnaround time post-medical record acquisition.
Image Title

Turn-key engagement programs, including communications, incentives and an optional requirement program

Image Title

Integration with care management, provider networks/COEs, health plans and PBMs, wellness and EAP partners, on-site health clinics

Image Title

Multi-channel program access

Image Title

Participant portal and MyMedicalAlly mobile app provides access to on-demand health information and chat and messaging features with the Ally Team

Image Title

Extensive customer reporting and dashboards

Image Title

Verified savings and impact analysis with option for claims-based analysis

Image Title

100% savings guarantee

Additional Services Available

Analytics and
Targeted Outreach

Proprietary data analytics and engagement systems that proactively identify, stratify and enroll individuals at risk for high-cost conditions and surgeries.
Independent, rigorous assessment of Surgery Decision Support® ROI based on actual claims data.

 

Supports participants with medical billing issues; understanding EOBs and confirming out-of-pocket costs; navigating denials and appeals, and more.

 

Self-Service Provider Selection Tool

On-demand access to participants searching for a high-quality provider in their area and
insurance network.

 

Ally Expert Opinion

Connects patients to the highest quality providers and medical experts to confirm current diagnosis and treatment plans, consider alternative treatment options, and make more informed choices about their health. Combines the benefits of both in-person and remote expert medical opinions.

In-Person Expert Opinion
  • Leveraging our physician quality algorithm spanning claims data from over 250 million patients on outcomes and experience for 96% of U.S. physicians.
  • Psychiatrists, psychologists and social workers to support behavioral health conditions.
  • 3-Elite Physician Match considers the patient’s unique condition, preferences and needs.
  • Expert Opinion Allies verify credentials and confirm insurance coverage and new patient/appointment availability.
Remote Expert Opinion
  • Consults with specialist from leading medical institutions from around the country.
  • Medical records collection, pathology review and appointment scheduling included.
  • Global support capabilities.
  • 48-hour turnaround time (post-medical records collection).
Image Title

Unlimited high-touch, concierge support from our physician-led Ally Expert Opinion Team, including questions to ask the physician, medical records collection, appointment setting.

Image Title

Education on value of high-performing physicians.

Image Title

Data filtered to include physicians affiliated with high-performance networks and COEs

Image Title

Multi-channel program access

Image Title

Participant portal and MyMedicalAlly mobile app provides access to on-demand health information and chat and messaging features with the Ally Team

Image Title

Customer reporting and dashboards

Image Title

Estimated Savings analysis