Health Plans

for business

Health Plans

Managing better health while reducing costly claims​

Improving member health while controlling costs can be a daunting balancing act. SpecialtyCare Connect® was designed to help organizations accomplish both of these without sacrificing member health or organizational goals.

Our service uses a proprietary data science approach to match individuals with the ideal in-network physician based on their area of clinical expertise and the individual’s specific health condition. 

We create a frictionless path for physician referrals, so that the largest drivers of cost, misdiagnosis and unnecessary treatments, are minimized. We do the heavy lifting, so you can benefit from streamlined healthcare and a product offering that stands out.

How health plans benefit from SpecialtyCare Connect

Reduces the Leading Drivers of Cost

Misdiagnosis and unneeded appointments, test and procedures are high up on the list of healthcare cost drivers.

Enhances Member Engagement and Quality Ratings

Boost HEDIS, CMS Star Ratings and Core Quality Measures by facilitating optimal access to the right physicians with a personalized experience.

Minimizes Costly Claims

Tackling claims cost ensures bottom line security.

Differentiates Product Offerings

With a crowded marketplace, it’s paramount to offer plan features with unique appeal.

Improves Effectiveness of Health Management Tools

Better healthcare outcomes provide a win-win for member and health plan while improving Medicare Star ratings.

Optimizes Resources via a Plug-in Solution

Optimize your network, care coordinators and consumer experience - let us facilitate your referrals.

Quality outcomes and cost-effective approaches are the hallmarks of ideal healthcare experiences. 

making better choices

The importance of choosing the right specialist​

Hear from people who’ve experienced the power of better healthcare choices.

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