Medical management, cost and quality programs

Programs

Medical management

Our programs include case management, diabetes and disease management, palliative care, hypertension management, kidney health, pharmacy, radiology, cardiology and physical and sleep medicine.

Medicare Advantage incentive programs

Earn incentives when you partner with us to improve health outcomes for our Medicare Advantage members.

Quality

When you share cost and quality data with our members—your patients—they can make more informed health care decisions. Learn about our Quality Program and read about best practices in our Quality in Action newsfeed.

Quality Program Quality in Action

Risk Adjustment program

Risk adjustment is designed to encourage insurers to compete on quality and efficiency, preserve consumer choice and improve quality of care for patients. Risk scores for members are calculated differently for Medicare and commercial members, but the information required from providers and office staff is the same.

Member programs and tools

Our programs help members live healthier lives and are offered as enhancements to their total benefit package. Programs reinforce and support your treatment plans.