For Health Plans

Health Plan Solutions

As a trusted Medical Ally to Care Management teams, we can help members facing specified diagnoses find top specialists for a second opinion and learn about the best treatment options, including potential risks and benefits.

We bring deep clinical expertise and the latest evidence-based information to ensure a highly personalized and satisfying member experience. Our objective support satisfies the Triple Aim, improving clinical outcomes and quality of care, increasing member satisfaction, and reducing medical expenditures.

Program Components

Expert Medical Opinions
that make the most of
your networks

  • Industry leading physician quality algorithm spanning over 4 billion claims data on outcomes and experience for 94% of U.S. physicians
  • Telephonic verification of new patient/appointment availability
  • COE integration
  • Both in-person and remote options

Treatment Decision
Support for your
high cost conditions

  • Hip and knee replacement
  • Lower back surgery
  • Hysterectomy
  • Weight loss surgery
  • Cancer
  • Mental Health

Industry-leading
engagement
strategies

  • Participant communications programs
  • Incentives and requirement programs
  • Identification and stratification with targeted outreach

…Plus full integration with your Care Management teams that ensures collaborative care,
cross-referrals and a seamless member experience

In addition to our long and successful track record of
delivering validated savings and impact, what sets us apart is:

Personalized, comprehensive and compassionate support - along the entire healthcare journey

Deep clinical expertise leveraging the latest evidence-based treatment information

Support for any and all medical conditions

Industry-leading engagement, outcomes and satisfaction rates

Data-driven quality physician algorithm and matching process

Identification and stratification with outreach

Rapid implementation and integration with your service model

Contact Us to Learn More