Our commitment to quality means better health outcomes, greater satisfaction, and more efficient use of resources. In the end, it’s all about providing the best value for our members.
Our commitment to quality means better health outcomes, greater satisfaction, and more efficient use of resources. In the end, it’s all about providing the best value for our members.
One way we are improving quality is by paying providers based on the quality, equity and cost of care they deliver. This supports the quadruple aim– reducing the cost of care, enhancing patient and provider experiences, and improving overall population health. By focusing on quality over quantity, providers can spend more time on what's best for their patients, such as more preventive care and fewer readmissions, driving significant savings.
Another way we are improving quality is through our partnership with Cigna for out of state employers and their employees. Our strategic alliance with Cigna is only one of four like it in the United States, giving members access to over 1 million providers nationwide. This means your employees get consistent, high-quality care wherever they live, work and travel.
Chronic pain continues to be a challenge for employees and their families. We're committed to treat the source of chronic pain using the latest digital health technology with Sword. Sword's clinically-validated virtual physical therapy program uses motion capture technology and AI to provide personalized treatment plans. Additional comprehensive solutions like Thrive, Move and Bloom are available to help address joint pain, physical health coaching and women's pelvic health.
Our pharmacy benefits prioritize quality and safety, drive clinical excellence, and deliver a simple, supported experience for members. Through intentional formulary design focused on clinical efficacy and cost-effectiveness, we ensure members receive the best possible care without unnecessary expenses. Members receive proactive outreach to support them in their health care journey including outreach regarding positive formulary changes, transition fills, and more.