We review the care physicians order against clinical guidelines to make sure that it’s supported by medical evidence before it’s delivered. Our clinical appropriateness review process sets the standard for clinical rigor.
We engage physicians in every step of our process–from the development of our clinical guidelines and clinician-friendly technology to our responsive peer-to-peer consultation. That’s why our provider satisfaction rate has been 96 percent or greater year after year.
We convert your members into savvy health care shoppers as they take on greater financial responsibility for their care. Armed with more awareness of their treatment options and the cost of care, they can confidently participate in shared decision-making.
We lead the innovation curve—we don’t follow it. Supported by our partners, which include industry giants, rising start-ups, and health plans ranging from national and regional to physician sponsored, our big ideas spark solutions that address today’s top concerns and power tomorrow’s transformations.