Our Solutions

ConsumerMedical is a pioneer in treatment decision support and expert opinion programs, leading the industry in clinical outcomes, financial savings and participant satisfaction. We offer two solutions:

Ally Complete Support

Our flagship solution; integrates medical decision support, evidence-based clinical information and expert opinions to support patients throughout their healthcare journey.

Ally Expert Opinion

Connects patients to the highest quality medical experts to confirm current diagnosis and treatment plans, and consider alternative treatment options.

ConsumerMedical also offers a variety of additional services that enhance our primary solutions: Claims Advocacy; Predictive Outreach; and Claims-Based Savings Analysis.

Ally Complete Support

Integrates high-touch medical decision support and all Ally Expert Opinion services into one comprehensive solution that supports patients throughout their healthcare journey—for all conditions.

Medical Decision Support ®
  • High-touch support for ALL conditions; medical and behavioral health
  • Focus on high-cost and complex conditions
  • Multiple touchpoints
  • Evidence-based treatment information
  • Tailored questions to ask the doctor
  • Targeted Surgery Decision Support® program for high-cost, preference-sensitive conditions and procedures:

Hip and knee replacement
Lower back surgery
Hysterectomy
Weight loss surgery

Comprehensive Expert Opinion Support
  • In-person expert opinion leveraging our physician quality algorithm spanning claims data from over 250 million patients on outcomes and experience for 95% of U.S. physicians as well as psychiatrists, psychologists and social workers to support behavioral health conditions; matching patient’s unique condition, preferences and insurance coverage.
  • Remote expert opinion consults with specialists from leading medical institutions from around the country, including Cleveland Clinic, Massachusetts General Hospital, Dana Farber Cancer Institute, Brigham & Women’s Hospital, McLean Hospital and more.
  • Medical records collection, pathology review and appointment scheduling.
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Turn-key engagement programs, including communications, incentives and an optional requirement program

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Integration with care management, provider networks/COEs, health plans and PBMs, wellness and EAP partners, on-site health clinics

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Multi-channel program access: phone, email, chat, text, web, mail

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Extensive customer reporting and dashboards

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Verified savings and impact analysis with option for claims-based analysis

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100% savings guarantee

Additional Services Available

Analytics and
Targeted Outreach

Proprietary data analytics and engagement systems that proactively identify, stratify and enroll individuals at risk for high-cost conditions and surgeries.
Independent, rigorous assessment of Surgery Decision Support® ROI based on actual claims data.
Supports participants with medical billing issues; understanding EOBs and confirming out-of-pocket costs; navigating denials and appeals, and more.

Ally Expert Opinion

Connects patients to the highest quality providers and medical experts to confirm current diagnosis and treatment plans, consider alternative treatment options, and make more informed choices about their health. Combines the benefits of both in-person and remote expert medical opinions.

In-Person Expert Opinion
  • Leveraging our physician quality algorithm spanning claims data from over 250 million patients on outcomes and experience for 95% of U.S. physicians.
  • Psychiatrists, psychologists and social workers to support behavioral health conditions.
  • 3-Elite Physician Match considers the patient’s unique condition, preferences and needs.
  • Expert Opinion Allies verify credentials and confirm insurance coverage and new patient/appointment availability.
Remote Expert Opinion
  • Consults with specialists from leading medical institutions from around the country when an in-person consult is not possible or convenient for the patient. Partners include Cleveland Clinic, Massachusetts General Hospital, Dana Farber Cancer Institute, Brigham & Women’s Hospital, McLean Hospital and more.
  • Medical records collection, pathology review and appointment scheduling included.
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Unlimited high-touch, concierge support from our physician-led Ally Expert Opinion Team, including questions to ask the physician, medical records collection, appointment setting.

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Education on value of high-performing physicians.

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Data filtered to include physicians affiliated with high-performance networks and COEs

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Multi-channel program access: phone, email, chat, text, web, mail

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Customer reporting and dashboards

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Estimated Savings analysis