Cancer. Hip surgery. Autism Spectrum Disorder. Opioid misuse. We offer help for all conditions.

We have a single-minded goal: the best care possible. To that end, we’ll help you know what to ask your doctors, sort through all your options, preferences, and values, and feel empowered by quality care.

Couple sitting at home, talking to a ConsumerMedical clinical support person on a tablet computer

Our Services

Predictive Outreach

Data is powerful. And we prefer to use it to help people prevent unnecessary health problems or delayed treatment.

Multi-Channel Support

You choose how you want to reach out to us—phone, web, app, or chat. And we respond quickly, almost always on the same day.

Behavioral Health Support

1 in 5 adults has a behavioral health challenge. We help people know what type of provider they need or where to start.

Surgery Decision Support

To have surgery or not? It’s not always black and white. We help people realize that saying “no” can sometimes be a good option.

Cancer Quality Program

A cancer diagnosis can be life-altering. We’ve helped thousands of people navigate the complex world of cancer.

Only 16% of patients know what all their options are.

That’s where we come in. We make sure you know and understand all your options, feel heard, and are making the best choice for you.

Couple sitting together in living room, looking at laptop
  • The right diagnosis

    Up to 20% of people with serious conditions are misdiagnosed. We help make sure your plan of care starts with the correct diagnosis.

  • The right questions

    Medical appointments often feel stressful. We help people get the most out of appointments by helping them prepare a personalized list of questions.

  • Timely turnarounds

    When needed, we’ll connect you to a doctor within 24 hours. And just 2-3 days after we collect your records, we can schedule a virtual second opinion.

There’s more to having surgery than people often realize.

Knee and hip replacements, low back surgery, hysterectomy, and weight loss surgery can be both expensive and lead to mixed outcomes. We make sure people understand how the evidence stacks up against their preferences and what other appropriate treatment options exist.

Couple sitting together at home, reading ConsumerMedical brochure

$30 Billion

is spent on potentially unnecessary surgeries

Many patients don’t know where to start. Or they don’t feel like they can second guess their doctor. And that means that an astounding one-third of healthcare dollars spent do not actually improve health.

40%

of avoidable surgeries & procedures are prevented

Surgery decision support is a win-win. Participants realize they can and should be more involved in their care. They end up happier, even if they were “required” to participate in surgery decision support.

$500k-2m

A shared responsibility “requirement” works.

Our partners have saved $500K to $2 million by requiring people to participate in shared decision making. The best part? What starts out as a dreaded “requirement” soon gets recognized as an amazing benefit.

90%

90% of consumers lack health literacy

“Medicalese” is for real. Almost everyone, regardless of education level, struggles to understand medical terms and stats. We use straightforward language and materials to help people know what to do to take the best care of themselves.

We provide a full continuum of behavioral health support.

And, as an independent, trusted 3rd party, we provide a level of confidentiality that leads to increased access.

A shortage of behavioral health support

The rise in behavioral health issues and the shortage of behavioral and mental health clinicians and facilities makes it more important than ever to connect people to quality mental health care. From EAP referrals to assembling a team with an addiction specialist and a psychiatrist, we can help anyone with any level of behavioral health challenge.

The right expertise

From the first contact, all the way through your journey, you’ll speak with someone who has both a clinical background and behavioral health expertise. Our team can skillfully allay any fears or stigma, and keep the focus on quality care. They can also help the whole family, including kids and adolescents.

Inpatient care navigation

Finding and gaining admission to an inpatient facility can be challenging. We do the leg work, including searching for bed availability, coordinating with case managers on cost and authorization, and facilitating inpatient management and progress updates.

Meeting Employees’ Increasingly Urgent Mental Health Needs

At the Business Group on Health 2021 Annual Conference, ConsumerMedical and The Hartford Financial Services Group, Inc. teamed up to share their experience working together to build and pilot a comprehensive behavioral health solution for The…

We’re always looking to increase our impact.

Our proven, data-driven predictive modeling tool drives successful, targeted outreach for people who need it. We reach out to them when it matters most—early.

100

distinct variables

Our proprietary model uses over 100 distinct variables representing thousands of diagnoses and procedures. It also provides a risk-severity score and creates segmented workflows to efficiently target specific populations.

70%

Of likely surgical candidates identified

Our predictive modeling tool can identify 70% of likely surgical candidates before surgery occurs.

33%

better engagement

Claims data, plus our analytics and outreach, lead to a 33% average increase in our Surgery Decision Support (SDS) engagement.

100%

TOP OF MIND

We reach out in many ways—phone, email, and with postcards and flyers. We make people sure they know that our services are free, confidential, and voluntary. And we make sure they know about any incentive to participate.

Cancer treatment is uniquely challenging.

And that’s why we spend as much time as necessary connecting people to the best multidisciplinary care team and educating them around their diagnosis, treatment options, and what they can do to feel better day-to-day.

The right information at the right time

Cancer can be scary. Our nurse allies give invaluable advice as they provide timely, curated, evidence-based education around not just treatment—but also things like nutrition, sleep, and pain management.

Proactive outreach

Cancer accounts for 12% of total medical costs for U.S. employers. We can identify people who may need cancer care support, or those who may be at higher risk for cancer. We thoroughly review their case. And then we provide what might serve them best: expertise, education, or advocacy.

38% of people will be diagnosed with cancer

That’s a lot of people we have the potential to help. And not just with getting the best care available or understanding their condition better. We also offer emotional support for the whole family and help with things like sorting out bills and insurance, or finding transportation to an appointment.

96% Satisfaction

It doesn’t get much better than that. Nearly 96% of participants report high satisfaction with our Cancer Quality program.

82% Improved Quality of Life or Peace of Mind

At the end of the day, that’s what matters most.

88% Would Recommend the Program

We’ll help you get the word out to your members or employees. If people know we exist, they’re quite happy to use our services.