Care+ is behavioral care, care delivery and care enablement that connects individuals to convenient health solutions that deliver optimal outcomes. Our Care+ solutions can be accessed in-person, at home, at work, virtually, and digitally. Our innovative care models apply a data-driven and clinician-informed approach to predict emerging health needs, close gaps in care, and drive cost savings all while delivering simpler, more connected experiences that empower whole-person and whole family health.
Our behavioral health solutions are built on 45+ years of experience committed to quality and affordability, accessibility, and compassionate support. That commitment never ends. Today, our comprehensive behavioral health offerings span the spectrum of support—from network, access, and utilization management to intensive coaching—to treat conditions ranging from depression and anxiety to specialties such as substance use, autism, and eating disorders.
Our behavioral health capabilities are field-proven—they can be tailored to meet specific clients’ needs and personalized for member needs.
Our clients benefit from a focus on:
- Fast and convenient access to care
- Care and case management for high-cost behavioral conditions
- Triage and navigation to care
- Integrated mind and body care
Care delivery is designed to connect people to the right care, at the right time, in the right setting that is most convenient for them.
MDLIVE’s virtual care solutions provide a device-agnostic, virtual care platform that can improve early diagnosis of critical care needs, ensure faster and more seamless referrals to high-performing providers, and give members more convenient access to appropriate and affordable care.
Primary Home Care
To bring more effective primary in-home care to managed populations, our physician-led care management organization work closely with patients in coordinated in-home, virtual, and telephonic settings to deliver direct care whenever needed.
Worksite Care offers advanced primary care, wellness, and custom coaching solutions delivered directly and conveniently to employees, whether in person at or near the worksite, or virtually. With our connected care approach, Worksite Care helps employees navigate and maximize their benefits through referrals to high-quality providers and community resources, delivering better health outcomes and lower medical costs.
Our care enablement solutions work alone or in combination to provide connected care models and integrated platforms to deliver more precise, impactful clinical interventions.
Clinical Pharmacy Solutions
Improving affordability and care quality, clinical pharmacy solutions drive better medication adherence and health outcomes across body and mind for patients by focusing on medication safety, utilization management and joining behavioral therapy with medication. Built on pharmacy analytics that go beyond predictive toward prescriptive, we can offer improvements in key clinical measures supported by clinical and financial guarantees.
Post-Acute Care and Home-Centered Care Networks
With more than 1.5 million members under management, our post-acute care solution shapes timely transitions from a hospital setting, skilled nursing facility, long-term acute care facility, or inpatient rehabilitation facility. Transitions are efficiently managed by applying coordinated post-acute care tools that enhance outcomes and reduce readmissions. In addition, as a strategic approach to home health, DME, and home infusion management, Evernorth has integrated existing regional networks to create dedicated, national DME, Skilled Care, Sleep, and Home Infusion Networks that serve over 11 million members nationwide. We are a leader in delivering more effective and appropriate in-home care.
Wellness, Coaching, and Case Management Solutions
These solutions will provide targeted, personalized support and intervention across the spectrum—from healthy patients to those at-risk or living with chronic conditions. For patients facing acute health care needs, we enable a digital platform that delivers a seamless, personalized member experience to drive greater savings and better health outcomes. End-to-End condition management programs focus on driving better medication adherence and health results for individuals with the most complex, costly conditions, connecting previously disparate pieces of people’s health journeys.