Health Plans | Utilization Management eviCore onConnectSM

The eviCore onConnectSM suite combines our capabilities in Medical Oncology, Radiation Oncology, Radiology, and Genomic/Molecular Laboratory to create a holistic, patient-centered care model that integrates pharmacy and medical benefits with regimen-based treatment plans and claims payment integrity to deliver better care at lower costs. Our team of cancer professionals includes over 30 board-certified oncology physicians, 30 nurses, 8 pharmacists, 22 genetic counselors, and more than 150 radiology/cardiology physicians who care deeply about the patients we serve.  Using continually updated evidence-based clinical policies, intuitive clinical decision support software, and peer-to-peer consultations, we help providers choose the right tests and treatments for each unique patient.

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Payers

Our eviCore onConnectSM suite optimizes the use of evidence-based guidelines to ensure the delivery of high-quality care to patients while avoiding the negative side effects and financial toxicity associated with unproven or less effective healthcare services.

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Providers

The eviCore onConnectSM suite helps providers quickly identify the most appropriate evidence-based test and treatment options using each patient’s unique clinical situation and the most up-to-date clinical guidelines.

Patients

Our eviCore onConnectSM suite allows patients to have confidence that the tests and treatments they receive meet the standards established by the leading experts in their cancer type, drawn from top cancer programs across the country. The solution offers the best chance for a positive outcome, and avoidance of the unnecessary costs and side effects associated with inappropriate health services (e.g., protracted therapy or avoidable emergency room visits and hospitalizations).

Frequently Asked Questions

What digital resources can I access to find out more information?
What is included in the eviCore onConnect suite?

Our integrated and proven eviCore onConnectSM suite includes the following:

  • The eviCore Medical Oncology, Radiation Oncology, Genomic and Molecular Laboratory, and Radiology solutions
  • Radiology and Lab include all diagnoses, not just oncology
  • NCCN® and eviCore evidence-based clinical guidelines for all cancer types
  • Multi-specialty coordination for better patient outcomes
  • Consistent processes and clinical policy coordination for simplified provider experience
  • Regimen-based, dynamic clinical decision support includes all therapeutic and supportive cancer drugs from both pharmacy and medical benefits
  • Post-service, pre-payment claims review via Claims Studio.
  • Single vendor accountability
  • Synergistic program effects

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