HEALTH PLANS
Seamless Integration for Optimized Health Plans
Partnering with Proactive MD to integrate our Advanced Primary Care into your health plans gives you greater control over costs and your members superior outcomes with an unmatched patient experience.
A Partner Who Understands Risk
From Patient Advocates’ high-touch engagement with complex needs to clinical pathways that drive superior health outcomes and lower the cost of care, every aspect of our proven Advanced Primary Care model is designed to mitigate and manage risk.
Predictable, Fixed Costs
When you partner with Proactive MD, your comprehensive fixed fee covers more than 90% of all primary care services with limited passthrough costs. Give your actuaries peace of mind, knowing that in a world of ever-spiraling healthcare costs, Proactive MD remains predictable and effective at bending your population’s cost curve.
Data Transparency
We recognize that reliable, timely data is required for effective population health management. That’s why we commit to full data transparency with our health plan partners, providing zero-dollar claims on all member encounters, managing accumulators for high deductible plans, and identifying rising risk populations before high-dollar claims hit your plan.
Maximize Your Network
At Proactive MD, we know that more than 80% of healthcare can be provided within a primary care setting, and we pride ourselves on a specialty referral rate of less than 10%. When patients need Care Beyond the Walls®, our clinicians and Patient Advocates guide them to high-quality, cost-effective, in-network providers. And if they have complex care needs, we integrate seamlessly with your case management teams to ensure they get fast, efficient care that follows all appropriate protocols.
Benefits Concierge
Our model drives higher engagement with primary care and facilitates higher engagement with other plan offerings. By directing our patients to your integrated wellness and well-being programs, behavioral health services, musculoskeletal providers, and other products, we can help you see a higher return on the investment in your plans and keep plan dollars within a network of preferred partners.
Empower your health plans for exceptional outcomes.
See how Proactive MD can make a difference across your product offerings.
We’re here to meet your health plan needs.
We’re here to meet your health plan needs.
Self-Insured and Level-Funded
Integrating Proactive MD’s Advanced Primary Care into your plan administration helps your self-funded clients realize a faster ROI on their plan dollars and provides a safety net for employers moving from fully-insured to self-insured plans.
Fully Insured
Proactive MD’s predictable primary care costs make it easier to control your total cost of care and manage risk across your fully insured population, helping you keep more of your premium dollars. We excel at risk-based arrangements to help you offload risk and manage the total cost of care.
Exchange
Give your plans the competitive edge in the individual health insurance marketplace by bundling access to Proactive MD Health Centers into your metallic and HMO plans, providing you with predictable primary care costs.
Medicare Advantage
We are experts in managing complex and high-risk populations like many of those enrolled in Medicare. We will partner with you to market and grow your MA plans within the community, lower your total cost of care, improve your STAR ratings, and provide your members with an exceptional, high-touch patient experience.
ADDITIONAL SERVICES
Explore our add-on services to enhance your employees' patient experience.
Occupational Health and Workers Comp
Occupational Health and Workers CompWe ensure workplace health and safety while protecting the well-being of your employees by offering pre-employment and DOT physicals, drug screenings, injury treatment/prevention, ergonomic assessments, BAT, audiometry, vision testing, respirator fit testing, workers compensation referrals and management, and more.
Virtual Primary Care
Virtual Primary CareWe make patient accessibility a priority by offering remote consultations, follow-up visits, and chronic condition management in the most convenient manner possible. Whether patients work offsite, from home, or are dependents, they have access to our virtual Advanced Primary Care services.
Behavioral Health
Behavioral HealthOur services focus on patients' emotional, psychological, and behavioral well-being, addressing conditions that impact mental health and the ability to function effectively in daily life. Utilizing licensed counselors, we work with patients on anxiety, depression, counseling and therapy, substance abuse treatment, medication management, and more. Our approach integrates care seamlessly with the patient's provider.
Musculoskeletal
MusculoskeletalWe specialize in preventing, diagnosing, treating, and rehabilitating conditions associated with the musculoskeletal system. Our services encompass prevention and education, onsite or virtual physical therapy, occupational therapy, lower back pain management, rehabilitation, diagnostic imaging, and more.
Wellness and Incentive Management
Wellness and Incentive ManagementWe provide tools to manage the well-being of your employees, including wellness programming, incentive design and management, rewards, reporting, and analytics.
Centers of Excellence and Second Opinion Networks
Centers of Excellence and Second Opinion NetworksWe've partnered with several world-renowned medical institutions to provide second-opinion and treatment services for complex, serious, or rare conditions. Through our Centers of Excellence relationships, we focus on conditions such as cancer, cardiovascular issues, orthopedic care, joint replacement, and more.
Remote Patient Management
Remote Patient ManagementBy leveraging Bluetooth and cellular technology, we not only monitor patient health status but also effectively manage their conditions and lead them toward better health.
Health Coaching
Health CoachingOur Health Coaches guide patients in making sustainable, positive changes to enhance their overall health and well-being. Our coaching programs extend beyond traditional medical interventions, often including lifestyle factors, behavior change, and holistic well-being.
Dental
DentalWe provide comprehensive dental care, including preventive cleanings, routine dental exams, and basic procedures. Our services aim to provide optimal oral health through personalized treatments and regular checkups.