Every health plan has unique challenges. We tailor our solutions into an end-to-end strategy that meets your needs and delivers a connected care experience for your members.
What’s possible when care is connected?
Your members and providers face complex decisions every day, like what care is best and where it should be received. When these decisions don’t align with evidence-based best practices, care can be unnecessary and pose risks to your members — and to your organization. We address inappropriate care from every angle. Your providers receive the expertise and technology to streamline workflows while your members are empowered with engagement support and cost transparency. That puts connected care within reach. And the impact to your business can be exponential.
Drive savings with clinical rigor
You have high standards. We do, too. That’s why we’ve spent over 35 years assembling the expertise of more than 370 board-certified physicians and over 1,000 clinicians — spanning more than 50 specialties — to design our solutions. Because with something as complex as healthcare, experience is an investment worth making.
We work diligently to anticipate and address your complex and unique challenges. Keeping your priorities, your members' well-being, and your providers' satisfaction central to our strategy is what allows us to deliver significant savings.
Lay the foundation for best-practice care
We keep the member at the center of everything we do. From examining social drivers of health to identifying gaps in care, our solutions are designed to do more than redirect care. We connect members with wraparound resources like care navigation, health coaching, and in-home assessments.
By uncovering cracks in the care continuum, we're able to develop solutions that address fragmentation and deliver a safe, effective, and connected care experience.
Prioritize a better experience
Better outcomes and lower costs rely on collaborative partnerships. And few are as critical as your relationship with your providers and your commitment to your members. We build on those relationships by treating them as our own.
An exceptional client experience is our North Star. As clinicians and patients ourselves, it’s a responsibility we’re proud to embrace.
The impact of a proven partner
50
states covered
370+
staff physicians
90%+
provider satisfaction
35+
years delivering value
1K+
staff clinicians
Solutions for your most complex challenges
Core Suite
Ensure your members receive high-quality, affordable diagnostic and specialty care.
Musculoskeletal Suite
Help members recover from bone and tissue injuries and disorders.
Oncology Suite
Deliver oncology care that's rooted in best practices and the latest clinical evidence.
Post-Acute Suite
Improve post-hospitalization recovery times and members' quality of life.
Home-Based Post-Acute Solution
See healthcare from our perspective
To drive sustainability within healthcare, best-practice clinical decision-making and new models for complex and post-acute care must be scaled. Learn how leading healthcare organizations are doing just that with our solutions.
Case study: How Harvard Pilgrim harnessed the genetic testing revolution
January 21, 2024
Discover how our Genetic Testing Solution helped Harvard Pilgrim control spending in this case study.
The exceptional provider experience
January 18, 2024
By working hand-in-hand with provider partners, leading health plans ensure individuals receive high-quality evidence-based care.
Five key traits of a medical benefits management partner
January 21, 2024
Learn about the five distinctive and nonnegotiable traits all management partners must possess to significantly impact healthcare sustainability.
A post-acute journey to better health
January 17, 2024
Innovative, member-focused health plans are reshaping the road to recovery for their members post-hospitalization.
Addressing social drivers of health in post-acute care
January 21, 2024
Discover how the SDOH program can easily help health plan members avoid unnecessary hospital readmissions and ER visits.
Reimagining home health with Interim Healthcare
January 21, 2024
Learn how our partnership with Interim HealthCare has benefitted health plans and members, and how we optimize the quality and affordability of post-acute care.
Ready to learn more?
We’re here to answer any questions you have about our capabilities.
