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Specialty Expertise Beyond the Expected

Value-based specialty programs spanning podiatry, sleep medicine, gastroenterology, and urology. 

Specialized Expertise Across More Areas of Care

Every specialty comes with its own clinical, operational, and financial challenges. From managing utilization and provider performance to improving access and coordinating care, health plans need approaches tailored to the unique dynamics of each specialty.

These programs apply the same principles that drive our core specialty solutions: provider alignment, clinical oversight, network expertise, and value-based strategies designed to improve outcomes and manage specialty spend.

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Value-Based Podiatry Management

Improving utilization, provider alignment, and cost predictability across podiatry services. 

Podiatry costs are often driven by variation in utilization, referral patterns, and site-of-care decisions. Our value-based model combines curated provider networks, aligned reimbursement, clinical oversight, and provider engagement to create more predictable utilization and cost performance. In comparable markets, aligned provider incentives have been associated with lower surgical utilization and improved cost management.

 

Available in Select Markets

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Comprehensive Sleep Care Management

Coordinating diagnostics, treatment, and member engagement across the sleep care journey. 

Sleep disorders can contribute to higher healthcare costs, reduced quality of life, and increased risk of chronic health conditions. Sleep Well combines provider network management, clinical review, diagnostics, care coordination, and member engagement to help health plans improve access to testing and treatment while supporting adherence and better outcomes.

 

Available in Puerto Rico

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Value-Based Gastroenterology Management

Managing utilization, site of care, and provider performance to help control specialty costs.  

Gastroenterology utilization continues to shift toward higher-cost sites of care, creating opportunities for health plans to improve cost performance through value-based management. Our approach combines provider network oversight, aligned reimbursement, utilization review, and clinical quality initiatives that support appropriate care while helping reduce unnecessary procedures and facility utilization. Colon cancer screening initiatives further support preventive care and early intervention.

 

Available in Florida

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Value-Based Urology Management

Aligning provider incentives and utilization oversight to improve quality and cost performance. 

Our value-based urology model focuses on managing utilization, influencing site-of-care decisions, and aligning providers around quality and cost performance. Through focused network oversight, clinical quality initiatives, and provider accountability, health plans gain greater visibility into specialty utilization while encouraging efficient, appropriate care. Clinical programs include support for bladder and prostate cancer screening initiatives.

 

Available in Florida

Specialty Challenges Deserve Specialized Solutions

Partner with a team that brings clinical expertise, provider alignment, and value-based strategies to complex areas of care.