Nationwide navigation and advocacy
Digital when they want it, human when they need it—our health 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.
Navigation
and Advocacy
Digital and human-led navigation provides a simplified, tailored experience for your entire population, including:
- Care Guides serving as navigators and advocates
- Predictive personalization engine identifying next best actions for each individual’s unique health journey
- Integrated access to top ecosystem solutions with data exchange and rewardable engagement
- Unified experience connecting all health, wellness, and benefits programs
- Curated in-network care recommendations based on member-specific plan details
- Health and well-being benefits hub with health tracking and rewardable challenges
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

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Explore all offerings
Advanced primary care
Available for local markets (single or multi-market), advanced primary care services can be deployed through partner care centers and employer-sponsored clinics. 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.
Real results:
7% reduced total cost of care and 86 patient NPS
Virtual urgent care
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.
Real results:
Connect to a provider in less than five minutes
Behavioral health
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.
Real results:
84% depression remission and 76% anxiety remission
Health coaching
Certified Health 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.
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
GLP-1 program
The GLP-1 and 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.
Real results:
Improved patient experience with GLP-1 medication through comprehensive target areas (not a singular focus)
Diabetes education
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.
Real results:
$106 PPPM in diabetes-related cost savings when a member completes the program with a controlled A1C (<8%)
Nutrition education
The Nutrition Education Program guides members through managing their health through nutrition. Designed for ongoing care, the program addresses conditions like pre-diabetes, hyperlipidemia, hypertension, and PCOS. Members receive biometric screenings, assessments, and structured coaching sessions over three months (continuing support if needed) through virtual visits, remote monitoring, and registered dietician support.
Real results:
Improved patient health outcomes related to BMI, A1C, high blood pressure, and cholesterol levels

Explore the ecosystem
We proudly partner with leading digital health solutions that help members stay healthy, manage conditions, and access care.

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