Solve the challenge of healthcare sustainability

At Carelon Insights, we rapidly optimize care and costs.

 

AIM Specialty Health, myNEXUS, and Meridian Resource Company
have now adopted the Carelon brand.

Providers: Find important information for you here.
Subrogation partners: Begin a questionnaire, refer a case, or sign in to access your reports here.

Healthcare sustainability is within reach

We believe a sustainable healthcare system is within reach, and closer than some may think. Even more, we believe that health plans can achieve it while keeping humanity at the core of every touchpoint across the healthcare system.

So what does our vision of a sustainable healthcare system look like for a health plan?

It’s a system where vulnerable members, like those with complex conditions or sensitive needs, access quality, affordable care seamlessly. It’s where providers can deliver best-practice care quicker than before in the best setting. It’s where health plans know their spending is going to better outcomes and better experiences.

It’s a healthcare system filled with integrity.

A more viable future for healthcare

See how we tackle today's biggest clinical and financial challenges.

Imagine integrity across every healthcare journey

When we join forces with your health plan, doing the right thing for your members, your providers, and your business becomes easier. Our advanced analytics, technology, and healthcare IQ make more possible when it comes to driving sustainability.

Bring clarity to high-stakes decision-making

With our clinical and financial expertise scaled by our platforms, we spotlight the best decisions for health plans, their members, and their providers at just the right time and in just the right place.

Enable new frontiers of personalized care, like the home

Using evidence, automation, and advocacy, we make personalized healthcare more appropriate, convenient, and affordable, whether it’s in the comfort of a member’s home or on the road through the member’s phone.

Remove friction across the healthcare system

We reimagine how the healthcare system uses advanced analytics and technology to ensure a better experience — and better results — for clinicians in their practice, staff in the back office, teams at a health plan, and more.

Protect the purpose of your spending

With a focus on care pathways, like value-based cancer care, and the payment value chain, like payment integrity, we help health plans ensure that their spending goes toward making connected care possible for everyone.

Progressive capabilities that make sustainability possible

Explore the forward-thinking capabilities that leading health plans are relying on to impact whole health, manage risk more precisely, and more.

Medical Benefits Management

Optimize your members’ specialty and post-acute care, and guide care to the right place, including the home

Explore

 

  

Payment Integrity


Recover, eliminate, and prevent unnecessary medical-expense spending for your health plan and your members

Explore

 

  

Advocacy

 

Provide a high-touch, deeply personalized concierge service for your members

Explore

 

  

A strategic partner, for this era in healthcare

We’re not just passionate about solving today’s quality and cost challenges in healthcare. We’re built for them — and for your business.

Learn about how our decades of experience and expertise across all lines of business can improve the health of your market’s healthcare.

Ask us about healthcare sustainability

Health plan leaders, contact us to learn more about how we're making healthcare sustainability achievable.