Page 6 - Demo

Our Physician Efficiency, Appropriateness, & QualitySM* program evaluates physician performance in a transparent and multidimensional way and helps guide members to in-network, high-quality and cost-efficient physicians who provide evidence-based, clinically appropriate care.%u2022 Measured at the individual physician level, compared to their peers in their specialty and geographic market%u2022 Cost efficiency measured by looking at whole episodes of care, with a holistic view of the costs and resources used %u2022 Measuring adherence to established clinical guidelines %u2022 Appropriateness scoring based on low-value, wasteful or inappropriate care%u2022 Quality measurement holding providers accountable for doing the right things, and doing them wellDriving Financial Outcomes with Innovative Navigation and SteerageOUR UNIQUE NETWORK STRATEGY DISTINGUISHES US FINANCIALLY, IMPACTING BOTH TOTAL COST OF CARE AND MEMBER EXPERIENCE, EVEN IN SEEMINGLY COMPARABLE NETWORKS. Improving Provider and Network Performance, Empowering Members to Make Educated Choices TRANSPARENCYNAVIGATIONINCENTIVESPLANDESIGNProvider Finder%u00ae CareWaySM*Coupe Health AlternativeHealth PlanHealth Advocacy SolutionsBenefits ValueAdvisorsVirtual PrimaryCareMemberRewards*PEAQ* Planned future enhancementsCoupe Health, our benefit plan designed as an alternative health plan, tiers providers by PEAQSM rankings, which drive member copay amounts by service type. Members see the cost share amount upfront through Coupe Health Provider Finder, increasing price transparency and eliminating surprise costs. Coupe Health%u2019s financing-only standard offering, in which member cost share is bundled into a single monthly bill and cost share is collected directly from the member, improving provider revenue capture and reducing bad debt write-offs.