SOLUTIONS

Operating Models
Our operating models demonstrate our ability to provide unique solutions to customers who want something different. We recognize that not all employers are the same and have invested in our operating model capabilities to offer the right fit for each customer in a nimble and flexible manner.

Networks
We offer a suite of industry-leading network solutions that can be tailored to meet each customer’s objectives now, and in the future. Our strong working relationship with network providers is a core component of the value we provide for our members and customers. Our success is evidenced by an ability to deliver a range of solutions that seek to deliver high value care.

Navigation & Advocacy
Our care management programs leverage clinical and social determinant data help assist members obtain quality and affordable care. Our portfolio of clinical management and advocacy services provides comprehensive options for employers’ needs in clinical management, advocacy, navigation, behavioral health, pharmacy and utilization management.

Strategic Business Partners
We partner with vendors to enhance member health with specialized, personalized health care services. Our vendor partners, including diabetes and metabolic health, musculoskeletal, weight management, and women's and family health, allow us to quickly deploy advanced technologies and outreach programs that support members with a variety of medical conditions and needs.

Virtual Care
More than ever, consumers are turning to digital platforms for everything from communication to grocery shopping to everyday work functions. As the technology, privacy and security of such platforms improves, the demand for more digital-based services—such as virtual health care—continues to grow.

Convenient access to timely care, care navigation, care substitution, and alternatives to costly emergency room and urgent care visits led us to expand our offerings in virtual care.

Behavioral Health
Our behavioral health offerings engage members at every level of the care continuum, from those who require acute care or intensive case management for a serious mental illness, to those who have a substance use condition, to those who need short-term assistance adjusting to a life event.

Pharmacy
We offer integrated pharmacy benefit management programs that combine medical, behavioral health and pharmacy strategies, improving outcomes, savings, and experience. Our pharmacy approach is built upon principles aligned with managing overall clinical and financial risk across medical and pharmacy. Employers benefit from our true low-net-cost approach versus the standard PBM model.