Medical Benefits Management: Specialty Care

Medical benefits management: Specialty care

 

AIM Specialty Health is now Carelon Medical Benefits Management.
Providers: Find important information for you here.

The foundation for quality, affordable specialty care

We help ensure health plan members receive quality, affordable specialty care, like chemotherapy and orthopedic surgery, that’s driven by rigorous clinical evidence.

With more than 35 years of experience, we help make it easier for health plans to improve and connect member and provider journeys. We do this by aligning complex care with evidence-based pathways, streamlining providers’ clinical workflows, and powering consumerism with member engagement and cost transparency.

The impact of a trusted partner

50

states covered

35+

years' experience

90%+

provider satisfaction

We approach specialty care with integrity

We think differently about specialty care.

To us, exceptional value and outcomes in specialty care are possible only by connecting partners across the system and optimizing the healthcare experience for everyone — for your providers, your members, and your business. And that’s what we do, tirelessly.

Clinically sound

Our multispecialty team of physicians helps assure your health plan’s clinical credibility, easing your providers’ adoption of our solutions.

Collaborative

We work with your providers like colleagues, enhancing their experience with your health plan and enabling them to focus on care.

Customizable

As a strategic partner to your health plan, we work with you to help tailor your solution’s design based on your exact market needs.

Solutions that bring clarity to clinical complexity

Led by physicians and scaled by an automated platform providers prefer, our specialty care solutions help address today’s most complex clinical specialties.

Core Suite

Fundamentals that minimize variation in care and create long-term value

Cardiovascular Solution

Radiology Solution

Sleep Solution

Surgical Procedures Solution

 

  

Musculoskeletal Suite

A balanced approach to the management of musculoskeletal conditions

Musculoskeletal Solution

Rehabilitation Solution

 

  

Oncology Suite

Continuity and quality across the oncology care continuum

Genetic Testing Solution

Radiation Oncology Solution

Medical Oncology Solution



  

Explore related solutions

Ask us about medical benefits management

Health plan leaders, contact us to learn more about the possibilities and impact of medical benefits management for specialty care.

Are you a health plan member?

If you’re a health plan member and have a question about your health plan, please call the member services number on the back of your health plan ID card.

Provider inquiries

For questions about a request or the Provider Portal: Call 1-800-252-2021 or contact our support team 

Business hours: 8:00 a.m. – 5:00 p.m. CST.