Sleep Solution
Help your members sleep better
Our Sleep Solution helps create long-term savings and health benefits by optimizing the sleep care continuum. We do this by partnering with your providers to promote clinically appropriate testing and treatment for obstructive sleep apnea and other common sleep disorders. We also help manage treatment adherence and reduce unused treatment supplies.
Lines of business
• Commercial
• Medicare
• Medicaid
• Federal employee
What happens when you optimize sleep care?
Unmanaged, the sleep care continuum often involves high risks of default decision-making and waste. We look at every way to optimize it from end to end. Our solution ensures clear decisions throughout your member’s sleep care experience — from diagnosis to treatment and monitoring. And clear decisions can make a big impact.
Improve your members’ whole health
Sleep is critical to physical and behavioral health. For your members with sleep disorders, we help make getting a good night’s sleep easier. We ensure that your members undergo optimal treatment based on the appropriate test so their sleep and whole health can improve.
Guide care to convenient, affordable settings
A sleep study at an outpatient department can cost thousands of dollars. And it’s rarely the most comfortable experience for your members either. We solve for both. Our sleep benefits management can ensure your members undergo comfortable, lower-cost home-based studies when appropriate.
Reduce your spending on unused treatment supplies
Sleep medicine has an adherence challenge: far too many patients stop using some treatments within the first year. Yet treatment supplies can continue to be ordered. We help curb that waste so that your health plan no longer pays for unused supplies.
Inside our Sleep Solution
Sleep medicine involves many difficult decisions. But with our solution’s features, your providers can more quickly make the right ones when it counts.
Clinical appropriateness review
Clinical setting optimization
Treatment compliance monitoring (optional)
Practice engagement resources
Advanced analytics and reporting
How our solution works
Request
Your providers submit requests to us online or over the phone.
Review
Our automated platform reviews requests in real time.
Determine
Requests meeting clinical criteria are immediately approved. Our clinical reviewers, including board-certified sleep specialists, are available to consult with your providers about any requests that don’t meet our clinical criteria.
Redirect
In-lab testing is redirected to home-based testing when clinically appropriate.
Synchronize
Request data is shared with your system(s) for claims, care management, and reporting purposes.
Explore related solutions
Ask us about our Sleep Solution
Health plan leaders, contact us to learn more about the possibilities and impact of our Sleep Solution.
Are you a health plan member?
If you’re a health plan member and have a question about your health plan, please call the member services number on the back of your health plan ID card.
Provider inquiries
For questions about a request or the Provider Portal: Call 1-800-252-2021 or contact our support team
Business hours: 8:00 a.m. – 5:00 p.m. CST.
