turningpoint

JSON twin: https://www.healthaidb.com/software/turningpoint.json

Company Name

TurningPoint Healthcare Solutions

Product URL

https://www.turningpoint-healthcare.com/

Company URL

https://www.turningpoint-healthcare.com/

Categories

Summary

TurningPoint Healthcare Solutions provides an integrated, technology-enabled complex condition management platform for payers, providers, employers and members to improve outcomes, reduce surgical risk and lower costs.

Description

TurningPoint delivers end-to-end complex condition and utilization management services combining digital member engagement (including Digital Joint & Spine), provider collaboration and enablement, care management, and utilization management with analytics and quality programs. The company focuses on managing high-cost, high-complexity conditions at scale for health plans and provider organizations, emphasizing improved access, safety, and cost savings and holds NCQA utilization management accreditation and HITRUST certification.

Api Available

unknown

Certifications

Company Founding

2014

Company Offices

Compliance

Customers

Data Residency

US (services intended for U.S. users; data transferred to and processed in United States)

Data Standards

Deployment Model

Features

Id

P1690

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

proprietary/commercial

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; enterprise/plan-level contracts and implementation details available upon request.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "TurningPoint Healthcare Solutions",
  "company_url": "https://www.turningpoint-healthcare.com/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2014",
  "product_url": "https://www.turningpoint-healthcare.com/",
  "categories": [
    "clinical",
    "care management",
    "utilization management",
    "provider enablement",
    "patient-facing",
    "population health",
    "digital therapeutics",
    "analytics"
  ],
  "market_segment": [
    "enterprise"
  ],
  "links": [
    "https://www.turningpoint-healthcare.com/",
    "https://www.turningpoint-healthcare.com/about",
    "https://www.turningpoint-healthcare.com/providers",
    "https://www.turningpoint-healthcare.com/health-plans",
    "https://www.tpshealth.com/digitaljointandspine",
    "https://www.turningpoint-healthcare.com/resources",
    "https://www.turningpoint-healthcare.com/contact",
    "https://www.turningpoint-healthcare.com/help-center",
    "https://www.linkedin.com/company/turningpoint-healthcare-solutions",
    "https://www.turningpoint-healthcare.com/post/turningpoint-healthcare-solutions-earns-ncqa-accreditation-for-utilization-management"
  ],
  "summary": "TurningPoint Healthcare Solutions provides an integrated, technology-enabled complex condition management platform for payers, providers, employers and members to improve outcomes, reduce surgical risk and lower costs.",
  "description": "TurningPoint delivers end-to-end complex condition and utilization management services combining digital member engagement (including Digital Joint & Spine), provider collaboration and enablement, care management, and utilization management with analytics and quality programs. The company focuses on managing high-cost, high-complexity conditions at scale for health plans and provider organizations, emphasizing improved access, safety, and cost savings and holds NCQA utilization management accreditation and HITRUST certification.",
  "target_users": [
    "health plans/payers",
    "clinicians/providers",
    "care managers/case managers",
    "members/patients",
    "employers",
    "health system administrators"
  ],
  "specialties": [
    "musculoskeletal/orthopedics",
    "spine care",
    "cardiac surgery",
    "ENT/surgical programs",
    "oncology rehabilitation (breast cancer rehab)",
    "complex condition management",
    "surgical quality and safety"
  ],
  "regions_available": [
    "United States",
    "All 50 US states"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; enterprise/plan-level contracts and implementation details available upon request.",
  "license": "proprietary/commercial",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web",
    "iOS",
    "Android"
  ],
  "features": [
    "Complex condition management",
    "Utilization management / prior authorization",
    "Member engagement (mobile programs)",
    "Provider enablement and collaboration",
    "CarePaths (evidence-based clinical pathways)",
    "Provider portal for authorizations",
    "Payer portal / payer-facing tools",
    "Peer-to-peer clinical review",
    "Practice-level reporting and analytics",
    "Safety & Quality awards / provider incentives",
    "Digital condition programs (e.g., Digital Joint & Spine)",
    "Live coaching and support",
    "Clinical policies and guidelines management",
    "Network support and training",
    "Claims/authorization intake workflows"
  ],
  "optional_modules": [
    "Digital MSK program (Digital Joint & Spine)",
    "Safety & Quality Awards Program",
    "Peer-to-peer review service",
    "Advanced provider toolkit / practice reporting"
  ],
  "integrations": [
    "TurningPoint Provider Portal (myturningpoint-healthcare.com)",
    "TurningPoint Payer Portal (payer.myturningpoint-healthcare.com)",
    "Health plan customers / payer systems (enterprise integrations with health plans)"
  ],
  "data_standards": [],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "CCPA (privacy disclosures)",
    "NCQA (Utilization Management accreditation)",
    "HITRUST CSF"
  ],
  "certifications": [
    "NCQA Accreditation for Utilization Management",
    "HITRUST CSF Certified"
  ],
  "security_features": [
    "Administrative, technical and physical safeguards",
    "Encryption (in transit and at rest)",
    "Access controls / role-based access",
    "Authentication and account protections",
    "Audit logging"
  ],
  "privacy_features": [
    "Business Associate Agreement (acts as BA to health plans)",
    "CCPA consumer rights support",
    "Data transfer to United States disclosed"
  ],
  "data_residency": "US (services intended for U.S. users; data transferred to and processed in United States)",
  "customers": [
    "SilverSummit Healthplan",
    "Fidelis Care",
    "Blue Cross Blue Shield of Michigan",
    "Ambetter",
    "Arkansas Total Care",
    "Home State Health",
    "Various national health plans"
  ],
  "user_reviews": [],
  "ratings": [
    "Glassdoor — 4.0/5 (company employee reviews)",
    "NCQA — Accredited for Utilization Management (listed on company site)"
  ],
  "support_channels": [
    "help_center",
    "provider_portal",
    "payer_portal",
    "email",
    "phone"
  ],
  "training_options": [
    "documentation",
    "provider_training_manual",
    "webinars",
    "live_online",
    "onsite"
  ],
  "release_year": "",
  "integration_partners": [
    "Fairway Health (acquired)",
    "Blue Cross Blue Shield of Michigan",
    "Fidelis Care",
    "Ambetter",
    "Arkansas Total Care",
    "SilverSummit Healthplan",
    "Home State Health",
    "TPSHealth / Digital Joint & Spine"
  ],
  "id": "P1690",
  "slug": "turningpoint",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/turningpoint.json"
  }
}