It’s like having a friend
on the inside.
Make your health plan work harder for you and your employees.
The cost of healthcare is a top expense for every employer. While we’ve tried high deductible plans, cost-shifting, and consumer-facing cost estimating tools, it’s still an uphill battle.
But the real problem is that healthcare is so complicated that 75% of people don’t feel confident when they’re making decisions. Employers and employees need an advocate on their side.
makes a difference.
Unlike other care navigation providers, our Care Advocates are Registered Nurses with an average of 20 years of experience.
After working firsthand in clinical settings, they have the knowledge to help people make the best decisions about their care.
They know the questions to ask to really understand what someone needs. Then they apply their clinical judgment to create a personalized care plan, complete with recommendations for the highest quality, lowest cost care.
Finally, they’ll fight for what’s right every step of the way.
Care Advocacy Services
Members receive unbiased, personalized assistance in making decisions about their healthcare.
From finding the best doctors, getting a second opinion, and evaluating alternative treatment options, Care Advocates investigate problems, deliver detailed education, and provide clear direction when it’s needed most.
To ensure the most appropriate care, we determine medical necessity.
Leveraging national guidelines for medical review, we evaluate inpatient admissions, diagnostic testing, outpatient services and surgeries, chemotherapy, durable medical equipment, and more.
Going beyond typical care coordination, we assist members with complex medical conditions, recent hospitalizations, unhealthy lifestyles, and high psychosocial risk factors.
Our team of certified case managers assesses needs, reviews treatment plans, and coordinates care with providers.
Since 2014, prescription prices have increased by 1/3, exceeding increases for most other medical commodities and services.
Making the most of a member’s current prescription drug program, Care Advocates review medications for duplicate therapies, generic alternatives, and financial assistance resources.
Awesome service! You were able to save me a great deal of money. Every provider that you have referred me to has been excellent.
– Brendan K., Member