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How IROs Help Payers Optimize the Medical Director’s Role

In today’s ever-changing healthcare landscape, the role of Medical Director at health plans, third-party administrators (TPAs), and medical management organizations is expanding at a rapid pace. As the scope and complexity of their jobs continues to evolve, payers of all types are increasingly partnering with independent review organizations (IROs) to perform medical review at all stages of the care management continuum, including pre-authorizations, internal appeals, provider quality reviews, and others.

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