AI-Driven Risk Identification
Consumer Health Platform & Virtual Nursing
Identify emerging health risks earlier using AI-driven analytics and a consumer health platform. Members can connect with experienced care managers and virtual nursing support to help guide care decisions.
Member Engagement & Program Enrollment
Condition & Impact Specific Outreach
Virtual nursing and outreach programs engage members through targeted communication and nurse-led support. Outreach campaigns help encourage participation in care management and connect individuals with available resources.
Utilization Management & Precertification
Case Review & Independent Review
Medical management services support appropriate treatment decisions and responsible care. Programs include utilization management and precertification, case review, and independent review management.