Who We Are

Headquartered in Chicago, Illinois and founded in 1999, RISING Medical Solutions (RISING) is a national medical cost containment and care management organization that services the auto, workers' compensation, and liability markets. With an aim to "protect the financial health of healthcare", RISING's equitable approach and commitment to providing compelling outcomes has produced leading medical-financial programs that have generated hundreds of millions of dollars in cost savings.

Since our inception, RISING has provided comprehensive healthcare management solutions to an impressive and diverse client base including top insurance carriers, self-insured employers, government entities, third party administrators, and attorneys.

Our Role in the Marketplace

Over the past several years the auto, workers' compensation, and liability industries have seen dramatic changes in the provision of healthcare management solutions by service provider organizations. With the multitude of solutions and technologies in the marketplace, service providers are no longer asked to merely assist clients with the application of appropriate rates, coding, contracted provider discounts, and care management protocols. The role of the healthcare management company has evolved to one of a solutions integrator and consultant who is well versed in the areas of medical claims analysis, regulatory compliance, and technical integration.

Payers of medical claims look to their service providers to assist them in designing, developing, and implementing solutions with the following goals in mind:

• Increase efficiencies (thus reducing expenses) through automation and technical innovation
• Generate maximum medical savings through the professional review of medical bills, integration with leading preferred provider organizations, specialty cost containment services, care management solutions, and complementary partner offerings
• Minimize the payer's capital investment by leveraging the service provider's technology investment and third party integrations
• Provide assistance with identifying medical spending trends through reporting and analysis of medical data

In response to the changing marketplace, RISING has assembled a team of professionals with both significant industry experience as well as technical expertise. At RISING, we recognize that while certain fundamental requirements of healthcare management processes are desired by all payer organizations, the needs of our partner clients are varied dependent upon their specific needs and philosophies. Consequently, RISING does not develop our solutions to be "off-the-shelf" products, but rather, we focus on developing configurable solutions that offer ample flexibility to meet our customers' unique requirements.

While we are not the largest provider of healthcare management solutions in the marketplace, we are a leading provider of these services - leading in our technology innovation, data/knowledge management, solutions extensibility, advancement of client decision making, complex coding expertise, and savings outcomes. The determination to outsource healthcare management business processes to a service partner is a significant strategic decision for our customers and one that RISING takes seriously by putting the entire commitment of our organization to the successful development and delivery of our medical cost containment and care management programs.