Providers: Find important information for you here.
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. Your priorities, your members' well-being, and your providers' satisfaction is central to our approach. That's how we 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 safe, effective, and connected care.
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.
50
states covered
370+
staff physicians
90%+
provider satisfaction
35+
years delivering value
1K+
staff clinicians
Solutions for your most complex challenges
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.
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
Explore more of our capabilities
Discover more of the capabilities that leading health plans rely on to make connected care a reality.
Get to know our perspectives
Improving the quality and cost of healthcare requires new perspectives on how to bring clinical and financial clarity to complex decision-making. Get to know ours.
Harvard Pilgrim case study
January 23, 2024
Discover how our Genetic Testing Solution helped Harvard-Pilgrim control spending in this case study.
The exceptional provider experience
January 19, 2024
By working hand-in-hand with provider partners, leading health plans ensure individuals receive high-quality evidence-based care.
Specialty benefits partner traits
January 23, 2024
Learn about the five distinctive and nonnegotiable traits all management partners must possess to significantly impact healthcare sustainability.
Ask us about Medical Benefits Management
Learn more about how we can solve your most complex challenges.
