Apollo Managed Care began providing the medical community with cost-effective review criteria and clinical guidelines in 1997. Established under the direction of Margaret D. Bischel, MD, FACP, Apollo has become a widely-trusted resource for supporting medically necessary and evidence-based health care.
Apollo Medical Review Criteria Guidelines for Managing Care® support medically-necessary evidence-based healthcare by offering best-practices options, actionable insights and guidance to better inform the decision-making process.
Among the national and international purchasers of Apollo guidance are:
- Capitated medical groups
- Provider networks
- Behavioral health providers
- Medical school faculty practice groups/plans
- State and county health departments
- Review organizations
- Specialty networks
- Indemnity carriers
- Third-party administrators
- Law firms
- VA hospitals
- U.S. Military
- Indian Health Service
- Licensing boards
- And many others
Decades of Service
For more than 18 years, Apollo Managed Care has published comprehensive evidence-based review criteria and guidelines. Leverage the rapid evolution of medical knowledge by making decisions using up-to-date, evidence-based information. Access to evidence-based decision support ensures that care reflects the best generally available information on patient outcomes and conforms to payer criteria.
As the demand to maximize quality of care while facilitating reimbursement and minimizing operating expenses continues to grow, so do the ranks of those who choose Apollo products.
Apollo guidance has been reviewed by literally hundreds of utilization review/management committees for health plans, IPAs, and other health care organizations as is required for their accreditation by NCQA, URAC and other agencies. Blue Cross Blue Shield of Illinois has approved Apollo review criteria guidelines for use by its contracted medicals groups and IPAs.
Review criteria and guidelines are continuously updated and made available on a real-time basis via the Apollo Managed Care web portal and the peer reviewed literature is continuously scanned for new information that pertains to Apollo criteria.
Our commitment to you – Apollo provides expert utilization management support for challenging review issues and appeals without additional cost to any subscriber.