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Care Navigation

Guiding members to high-value, community care.

Healthcare navigation, support, and coordination along the care journey.

Quality matters and where members decide to get care has a major impact on costs. When members seek care in the community, price and quality vary greatly, even in-network. At Premise, we know there’s a better way.

We provide a seamless solution that helps members access high-value specialty care in their communities. Our care navigators leverage outcomes and price data to guide members to high-quality, cost-effective providers and facilities that are in-network and accessible. Our hands-on approach ensures members and their families never have to navigate their healthcare needs alone.

We make cost-effective, quality care the standard.

Quality and Cost Referral Matching

Just like you can’t judge a book by its cover, you can’t judge hospitals or specialists by a single achievement. Quality matters, and no hospital or specialist is good at everything. The cost of a procedure at a hospital may be five to 10 times more expensive than if it was performed at a surgery center in any given market – a variance driven by care setting, not quality. To solve for this, Premise’s care navigators utilize best-in-class outcomes and price data to guide members to high-quality, cost-effective, in-network providers and facilities.

Support Before, During, and After

Navigating care within the community can be tricky, and on top of that, people may not have time to make their health a priority given busy schedules. Our care navigators provide a guided experience that helps members seamlessly manage their care, whether that’s inside our four walls, virtually, or in the community. Members benefit from integrated services, coordinated treatment, and the peace of mind that comes from having a medical home throughout their care journey.

Our Care Navigation offering includes:

  • Referral matching
  • Care follow-up
  • Data-driven referral coordination
  • Concierge support
  • Treatment coordination
  • Appointment booking and reminders
  • Medical record reconciliation
  • Member outreach via phone, email, and more
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