SMS provides a qualified network that helps clients simplify access to high quality, affordable care by connecting their members with our high-value alliance providers that have demonstrated quality outcomes. We manage surgical spend, provide a seamless member experience, and drive site-of-care optimization by engaging and educating members on the quality and cost benefit of ambulatory surgery centers (ASCs) and Centers of Excellence (COEs). In addition, we have bundled episode of care pricing in place across multiple specialties and markets to drive even deeper savings of approximately 30-50% lower than market average with our providers.
SMS addresses all outpatient surgical sub-specialty spend and member navigation needs. This allows for spend optimization and servicing across interdependent specialties to close gaps in care.
Our curated local provider alliance (network) and market expertise sets us apart from the market. Currently, there are more than 800 facilities representing 16,000+ providers across all subspecialties. The SMS care advocates help members locate a provider, schedule appointments and continue to engage with reminders and follow-up, including post-procedure. Care advocates provide ongoing guidance throughout the member’s care to make sure we support them holistically.
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