Care to Care, a radiology benefits management company, has been granted a license by the Virginia Department of Health to manage outpatient diagnostic imaging services in the State of Virginia as a Private Review Agent (PRA).
The license authorizes the company to provide utilization management of radiology procedures for commercial, Medicare, and Medicaid products offered by health plans, self-insured and self-funded groups, locals, and unions.
Barbara Kelman, COO and senior vice president of Care to Care, said: “We are pleased to receive Virginia licensure. By granting licensure, the State of Virginia recognizes Care to Care’s ability to provide sound utilization management of diagnostic imaging. Care to Care places great importance on the relationship between payers and their providers.
“Our philosophy is to work along with the payer to ensure their members have access to high-quality facilities that provide medically-appropriate, safe diagnostic imaging, which in turn will result in reduced radiology spending.”
Michael Komarow, chief medical officer of Care to Care, said: “Clinically inappropriate use of advanced diagnostic imaging is a significant driver of Virginia’s health care costs. Radiology benefits management, using evidence-based criteria, has proven to reduce clinically inappropriate imaging, prevent unnecessary radiation exposure and expense.”