How we work


As informed purchasers of health care services, our mission is to make clinical policy decisions that guide medical coverage, maintain quality standards, and ensure providers have access to evidence-based practices for our client’s medical care.

Goals to improve health care access, quality, and cost

  • Using evidence to make clear and consistent coverage decisions. Evidence-based medicine combines clinical expertise with the best relevant medical evidence from systematic scientific clinical research.
  • Working with providers and manufacturers to ensure we are informed of current industry standards and trends. We conduct provider outreach, liaison, support, and advise on health care benefits policy.
  • Making consistent medical decisions that reflect a clear and open process of using evidence-based medicine. Transparency within the process allows for stakeholder and patient participation in care.