Primary care
Evaluate an appropriate pathway for everyday care needs within the agreed clinical and geographic scope.
Care programsStart with the need.
Start with the need.
Design the pathway.
Explore care categories that may fit your clinic, then confirm the clinical model, participating providers, and payer requirements for the proposed program.
Explore a partnershipBUILD AROUND THE CARE YOU WANT TO OFFERYour patients.
Discuss a care programYour patients.
Your next care program.
01 / CARE PROGRAM
Primary care
Everyday care. Connected follow-through.
02 / CARE PROGRAM
Urgent care
Episodic care with a defined next step.
03 / CARE PROGRAM
Mental health
Clinician-led care and ongoing support.
04 / CARE PROGRAM
Weight management
A clinical visit pathway built for continuity.
Program availability and insurance participation are confirmed by service, state, provider, and plan.Combining cash-pay and insurance?
Mental health
Review clinician-led mental health services against the program’s clinical capacity and payer arrangements.
Weight management
Coordinate eligible visit workflows while keeping service coverage, medication coverage, and authorization distinct.
THE DETAILS / 01
A service category is the starting point
Each proposed program needs a specific definition. Primary care, urgent care, mental health, and weight management can involve different clinicians, visit formats, documentation, and payer requirements.
- Define the services and intended patient population
- Review clinically appropriate visit formats
- Confirm participating providers and target states
- Identify the relevant payer products and billing pathway
THE DETAILS / 02
Keep coverage conversations precise
Availability of a service does not mean every patient’s plan covers it. The patient’s benefits, clinical circumstances, and plan rules must be considered. Patient-facing information should reflect the scope actually available.
- Verify the specific plan and patient eligibility
- Review service coverage and authorization requirements
- Distinguish a visit from medications, labs, and other items
- Route clinical decisions to the licensed care team
THE QUESTIONS THAT MATTERA little more
A little more
clarity.
Are GLP-1 medications covered?
Medication coverage depends on the medication, indication, patient plan, and applicable authorization requirements. An insurance-based visit does not guarantee coverage for a prescription.
Can every service be delivered asynchronously?
No visit format is assumed to work for every service. Clinical appropriateness, state requirements, and the specific payer’s rules must be reviewed.
Can we request another care category?
Yes. Describe the intended service during your partnership review. Clinical capacity, program fit, payer arrangements, and operational requirements determine whether it can be included.
THE NEXT MOVE IS YOURS.LET’S MAKE IT HAPPEN. ↗
Build your brand. Connect the infrastructure. Move forward.
Explore a partnership