Managing healthcare risk and controlling costs means coordinating care and lowering overall plan utilization. These goals can only be achieved by analyzing claims and utilization data, engaging members in their health and encouraging the use of appropriate healthcare providers. To achieve lower claim costs and quality outcomes, IHRM member administrators help determine the medical necessity, length of stay, discharge plans and appropriateness of medical services being rendered by participating providers.

IHRM members accessing the GWH-CIGNA National PPO Network also have access to CIGNA's comprehensive medical management services. Integrating national provider network access and medical management helps IHRM members reduce administrative costs and increase overall operating efficiencies.