Appropriateness and affordability through empowerment
Our clinical solutions and engagement strategies equip your providers and your members with the tools and knowledge to make clinically appropriate, affordable health care decisions.
Clinical solutions
Our clinical solutions span the most complex, costly specialties. We use evidence-based clinical guidelines and analytics to help eliminate inappropriate utilization and its associated costs.
Engagement strategies
Our engagement strategies connect with both your providers and your members at just the right time so they make appropriate, value-based health care decisions.
Our competencies, your advantages
Our core competencies help position your plan as the health care partner of the future.
Aligning care with best practices: clinical appropriateness review
Helping physicians keep up with the latest best practices in evidence-based care is complex. We use our clinical guidelines, physician-led outreach, and innovation to make it easier. It’s our best practice.
Empowering health consumerism: member engagement
With members’ having greater responsibility for their care and its cost, transparency and education are key. Our solution technology provides both at just the right time.
Supporting better clinical decisions: provider collaboration
Promoting a continuum of evidence-based care requires a deeper partnership with providers. We engage them from start to finish.