Medical Benefits Management

Where others see complexity, we see the opportunity for a more connected care experience.


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.

The impact of a proven partner


states covered


staff physicians


provider satisfaction


years delivering value


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.

Radiology Solution

Cardiovascular Solution

Sleep Solution

Surgical Procedures Solution


Musculoskeletal Suite

Help members recover from bone and tissue injuries and disorders.

Musculoskeletal Solution

Rehabilitation Solution


Oncology Suite

Deliver oncology care that's rooted in best practices and the latest clinical evidence.

Medical Oncology Solution

Radiation Oncology Solution

Genetic Testing Solution


Post-Acute Suite

Improve post-hospitalization recovery times and members' quality of life.

Home-Based Post-Acute Solution

Facility-Based Post-Acute Solution

Durable Medical Equipment Solution

Explore more of our capabilities

Discover more of the capabilities that leading health plans rely on to make connected care a reality.

Ask us about Medical Benefits Management

Learn more about how we can solve your most complex challenges.