Health Plans & Payers
Transform Chronic Care for Your Members. Deliver Outcomes.
Lower Medical & Pharmacy Spend.
Ciba Health partners with health plans to reverse chronic diseases, reduce Rx costs,
and close care gaps through AI-powered, integrated virtual Advanced primary care.
BEST APPROACH
The Ciba Health Solution
A unified, virtual chronic care platform for your entire population.
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Integrated care team
MDs, RDs, certified health coaches, licensed mental health professionals
Biometric monitoring + device integration
CGM, BP, scales for continuous health tracking
Personalized care plans addressing root causes
Evidence-based interventions tailored to each member
Escalation pathways into health plan networks
Seamless referrals to specialists and providers
Seamless integration with existing care management
Works with your current systems and workflows
FULL INTEGRATION
How Ciba Health
Works for Payers
A fully integrated, virtual chronic care extension
that enhances your existing delivery system
AI-Powered Care Navigation
Predictive models dynamically assign risk tiers, ensuring the right care level at the right time.
Virtual-First Human-Led Care
High-touch coaching, nutrition, and behavioral support reduce acute events and drive sustainable outcomes.
Integrated Medical Escalation
Clinical deterioration triggers seamless referrals into plan-owned or contracted provider networks.
Data-Driven Collaboration
Claims integration, real-time reporting, and ROI validation.
White-Labeled Option
Fully customizable for regional or national payer deployment.
REAL NUMBERS
Validated Outcomes
Pricing and Contracting
Flexible partnership options designed to deliver value from day one
Per-employee-per-month (PEPM) model
Performance guarantees
Shared savings
models
Direct contracts or delegated risk models
Current Partnerships
Trusted by leading health organizations
across diverse market segments
Commercial health plans
Serving employer-sponsored and individual market members with comprehensive chronic care management
Regional Blues
Partnering with Blue Cross Blue Shield plans to enhance member outcomes and reduce regional healthcare costs
TPAs & PBMs
Integrated solutions for third-party administrators and pharmacy benefit managers
OUR STRATEGY
Why Health Plans Partner with Ciba Health
Strategic advantages that drive measurable results and competitive differentiation
Immediate medical and Rx savings High engagement and validated outcomes
Replaces multiple point solutions with one comprehensive chronic care platform
Scalable for diverse lines of business Scalable for diverse lines of business
Flexible architecture adapts to any market segment, population size, or coverage model your plan serves.
Reduce vendor fragmentation Fully integrated models
Comprehensive platform eliminates the need for multiple point solutions, streamlining operations and improving care coordination.
Competitive advantage in crowded markets Enhances plan differentiation
Advanced chronic care capabilities that set your plan apart and drive member retention and
acquisition.