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    Specialty Management Where It Drives the Greatest Impact

    We focus on high‑impact specialty areas where structured management improves member experience, care delivery, and cost performance.

    The Case for Specialty Management

    High‑volume specialty services share common challenges that benefit from structured management.

    Broad Scope

    Specialty care includes services such as eye care, therapy, dermatology and many others, each with distinct providers and care pathways.

    High Variation

    Utilization, site of care, and treatment intensity often vary widely for similar clinical needs, driving variation in outcomes and cost.

    Fragmented Oversight

    Specialties frequently operate across disconnected networks, benefits, and programs, limiting alignment and visibility.

    Referral Management

    Specialty referrals shape utilization, site of care, and treatment decisions. Structured management aligns care pathways and reduces variation.

    High-Impact Specialties We Manage

    Eye Care

     

    Eye care spans routine, medical, surgical, and pharmaceutical services with wide variation across providers and settings. Active specialty management brings alignment and oversight across the continuum to support access, quality performance, and cost control.

     

     

    Explore Total Eye

    Therapy (PT/OT/ST)

     

    Therapy is a high‑volume specialty with significant variation in utilization and outcomes. Our episode‑based management model aligns clinical expectations, reimbursement, and performance to improve results while reducing unnecessary cost.

     

     

    Explore Thrive Therapy

    Dermatology

     

    Dermatology is a high‑demand specialty with meaningful variation in procedures, site of care, and utilization. Structured specialty management improves consistency, supports appropriate care pathways, and enhances the overall member experience.

     

     

    Explore Pure Derm

    Other Specialties

     

    Podiatry, gastroenterology, urology, and sleep each present unique challenges for health plans. Our approach combines network, clinical, and value-based strategies to help plans improve coordination, support care, and manage specialty spend.

     

     

    Explore Other Specialties

    A Single Specialty Management Model

    While each specialty differs clinically, all operate within the same specialty management model. We bring structure to high‑volume areas of care by aligning provider networks, clinical programs, referral pathways, and operational oversight, enabling consistent performance across specialties, markets, and lines of business.

    This shared foundation allows health plans to expand specialty management where it makes sense, without introducing fragmentation or operational burden.

    Explore Our Approach
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