Perspectives on a more sustainable healthcare system

See how healthy the healthcare system can become

To improve the quality and costs of healthcare, we need new ways of looking at it. We need connected clinical and financial expertise that brings clarity to complex clinical decision-making. We need progressive ideas on analytics and technology that help remove friction to drive whole health. We need a renewed commitment to do what’s right for the entire system.

These are the perspectives helping us make healthcare healthier and more sustainable. Explore them in greater detail below.

Best-practice clinical decisions can scale

Imagine the possibilities if all the specialty care that your members received, like chemotherapy and orthopedic surgery, aligned with the latest, proven clinical evidence. How would it improve outcomes, and what’s needed to accomplish it?
 

Discover what we’ve learned helping providers make best-practice clinical decisions for more than 35 years.

How Harvard Pilgrim harnessed the genomic revolution

Discover how our genetic testing solution helped Harvard-Pilgrim control spending in this case study.
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The exceptional provider experience

Leading providers across the country prefer our medical benefits management solution for specialty care. Here’s why.
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The five non-negotiable traits of a medical benefits management partner

Safeguarding your members’ health and supporting your providers’ complex decision-making require a certain type of strategic partner.
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Post acute care is being reimagined

From improving coordination after discharge to bringing value-based care to the home, an optimized post acute care model — focused on better outcomes, smarter spending, and higher satisfaction — is possible.

 

See how we’re reimagining it and bringing it to life.    

A post acute journey to better health

Often, the road to recovery after a hospital stay can be long, fragmented, and uncertain. With our help, leading health plans are changing that.
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Carelon's SDOH program for post acute care

In our vision of post acute care, social barriers, like housing challenges, food insecurity, and lack of transportation, won’t stand in the way of whole health.
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Why Interim HealthCare and Carelon partnered to reimagine home health

The inspiring partnership has brought collaborative support for in-home providers and helped them deliver higher-quality, holistic care at lower costs.
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Healthcare sustainability depends on integrity

The health of the healthcare system improves when spending is responsible and accurate. Today, platform technology and advanced analytics are paving the way to make that more efficient and more proactive than ever before.  

 

Learn about the opportunities we see to embed more financial integrity across the healthcare system. 

Transformative payment integrity

More and more health plans are turning to payment integrity to control costs. But leading health plans are optimizing their efforts in five new ways. 
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Our approach to payment integrity

Solving today’s healthcare affordability challenge requires innovation. Learn about our payment integrity solutions that connect health plans and providers.
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Improving subrogation performance

Subrogation is being reinvented. And the new models work better than ever, maximizing recoveries behind the scenes of providers’ and members’ experiences.
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How payment integrity is evolving

Payment integrity capabilities are constantly evolving. Here’s where they’re going next and why that matters more than ever.
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