Rehabilitation Solution
Maximize your members’ functional improvement
Our Rehabilitation Solution helps accelerate better outcomes and improves the cost of rehabilitation therapy. We do this by engaging with your providers to deliver evidence-based habilitative and rehabilitative care, including physical, occupational, and speech therapy, at the right setting for the right duration.
Lines of business
• Commercial
• Medicare
• Medicaid
• Federal employee
Imagine the power of purpose-driven rehabilitative therapy
Leading health plans see rehabilitation as a progressive strategy to lower costs. We think even more is possible. When managed at scale with clinical integrity and advanced technology, it can make exponential impact across the healthcare system within your market.
Maximize your members’
functional outcomes
After an illness or an injury, your members may need rehabilitative therapy to help get them back on their feet. We help make it possible. With our Rehabilitation Solution, your members receive effective and clinically appropriate rehabilitative treatments.
Guide your providers’
decision-making
Throughout the care journey, your providers face many decisions — from the type of therapy to the setting and duration. We help bring clarity to them. As your strategic partner, we help your providers adopt best-practice care.
Help reduce your health plan’s
total cost of care
Demand for pain management and rehabilitation keeps rising. We help prevent unnecessary spending on it. By supporting your providers’ decision-making, your members can heal quickly and avoid long courses of ineffective care and unnecessary surgeries.
Inside our Rehabilitation Solution
When managed, rehabilitation therapy offers the promises that the healthcare system has long hoped for: better outcomes, higher satisfaction, and lower costs. We’ve designed our progressive, comprehensive solution so those promises become your health plan’s norm.
Clinical appropriateness review
Specialty-matched provider consultation
Clinical setting optimization (optional)
Practice engagement resources
Advanced analytics and reporting
How our solution works
Request
Your providers submit requests to us online or over the phone.
Review
Our automated platform reviews the requests in real time.
Determine
Requests that meet clinical criteria are immediately approved. Our clinical reviewers, including therapists and board-certified physicians, are available to consult with your providers about any requests that don’t meet our clinical guidelines.
Redirect
If included in your program design, we redirect services to high-value sites of care when clinically appropriate.
Synchronize
Request data is shared with your system(s) for claims, care management, and reporting purposes.
Explore related solutions
Ask us about our Rehabilitation Solution
Health plan leaders, contact us to learn more about the possibilities and impact of our Rehabilitation Solution.
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.
