Our Capabilities

The Advantage of an Integrated Partner

We offer a full solution, including all the capabilities required for success today—and into the future, as your value business grows.

Customizable Capabilities to Meet Your Needs

Population Health Management

Health systems and physician groups taking on meaningful value-based risk can rely on our proven population health management capabilities. Through a holistic approach that includes the integrated team and tools required for success, we are able to offer a unique commitment to delivering quality and cost results. Learn More

Health Plan Administration and Third Party Administration

With roots stemming from one of the nation’s top provider-sponsored health plans, we partner with health systems to launch, optimize and grow highly differentiated plans that are locally owned and managed. Learn More

Network Performance Management

The physicians in your network will determine how well you execute on cost and quality metrics. Performance measurement and management is essential. Our team of data specialists and informaticists, along with our suite of analytic tools, ensure you have reliable information to drive and sustain performance among physicians. Learn More

Risk Adjustment

Physician engagement is the most significant driver of an accurate and efficient risk adjustment program. We outperform on engagement because we have worked with physicians to build a solution that is simple to adopt, and creates real clinical value for physicians and their patients. Learn More

Pharmacy Benefit Management (PBM)

In addition to offering a highly cost-effective PBM, we integrate pharmacy data and clinical data with your model of care to streamline prior-authorizations, bring better pharmacy data to the care team and provide a unified experience for patients. Learn More

Analytics and Performance Improvement

Our health system and physician organization partners rely on us to ensure their value-based clinical and administrative operations are consistently at the cutting edge of performance. This discipline of continuous improvement is a key focus and core to our own success within the partnership. Learn More

Technology and Electronic Medical Record Integration

Our IdentifiSM platform includes proven population health management plus network management, utilization management and core claims administration. Electronic medical record (EMR) integration leverages the host EMR’s data and user interface to complement your value-based business. Learn More