Comprehensive
benefit navigation and health solutions
Digital when they want it, human when they need it. Our benefit navigation and digital health solutions support members every step of the way. Add-on solutions are also available to customize the experience to your population’s unique needs.
Nationwide navigation and advocacy
Navigation and Clinical Advocacy
When added to the foundational navigation solution, RN Care Guides provide clinical advocacy, addressing social, environmental, and emotional factors that impact health. Acting as the “quarterback” of each member’s care journey, they ensure seamless support beyond the doctor’s office, including:
- Nurse triage
- Referral management and care coordination
- Chronic disease management
- Condition management coaching
- Medication education and reconciliation
- Care transitions
- Post-discharge follow-up planning
Expert guidance
Clinical Care Guides bring deep expertise in behavioral health, medication management, social work, billing, and ER avoidance, offering comprehensive support, especially for higher-risk members.
360º member insight
Armed with the same intelligence that powers our digital platform, Care Guides use member, provider, and program data to identify high-impact opportunities and connect people to the right care and resources.
Personalized, proactive engagement
Care Guides engage the members who need it most, reaching out with tailored communications and clear next steps. They also respond to employees or their family members in real time to questions—guiding members to care and support for their most pressing needs.
Support for every employee
Trained in addressing how social determinants of health can create barriers to care, Care Guides act as advocates for members, offering warm hand-offs to low- or no-cost local resources and employer programs to ensure no one falls through the cracks.
Explore the ecosystem
We proudly partner with leading digital health solutions that help members stay healthy, manage conditions, and access care.
Explore all offerings
Advanced Primary Care
Real results:
7% reduced total cost of care and 86 patient NPS
Near-site clinics available in some geographies or on-site builds of advanced primary care services can be deployed and connected with digital navigation. The integrated care team model is designed to address 80% of patient needs with a focus on preventive and sick care and chronic condition management.
Virtual Urgent Care
Real results:
Connect to a provider in less than five minutes
Fast, high-quality care in just 15 minutes—from booking to treatment plan—through a chat-based service. Available 24/7 for a wide range of common health concerns, patients complete a brief survey, then licensed providers carefully assess their needs and deliver clinically appropriate treatment, including prescriptions and follow-up checks.
Behavioral health
Real results:
84% depression remission and 76% anxiety remission
Primary care providers connect members to Behavioral Health Clinicians—who can often see patients within just two days in person or virtually—for short-term interventions with remote psychiatric consultants providing additional support. Including behavioral health into care plans drives higher treatment adherence and faster symptom improvement.
Health Coaching
Real results:
More than 11% cost reduction and $1,000 per member per year savings when working with a Health Coach compared to those who do not engage
National Board Certified Health and Wellness Coaches empower patients to take control of their health through personalized support, goal setting, and education, collaborating with providers to encourage sustainable behavior change. Available as a standalone service or within primary care, coaching includes 1:1 sessions, group sessions, and interactive workshops available in-person, by phone, or virtually.
GLP-1 & Weight Management Program
Real results:
Improved patient experience with GLP-1 medication through comprehensive target areas (not a singular focus)
The GLP-1 & Weight Management Program offers a seamless solution to rising GLP-1 costs and weight-related challenges. Grounded in advanced primary care, our multidisciplinary team creates personalized care plans, combining medication management with lifestyle and behavior change. Using a high-tech, high-touch model, we support appropriate GLP-1 usage and sustainable weight loss.
Diabetes education
Real results:
$106 PPPM in diabetes-related cost savings when a member completes the program with a controlled A1C (<8%)
The Diabetes Self-Management Education and Support (DSMES) Program provides high-quality, comprehensive education for members with diabetes. Rooted in advanced primary care, DSMES providers collaborate with members and care teams to create personalized, evidence-based plans for long-term management, addressing comorbidities and improving diabetes-related outcomes.
