All of our provider microsite links are posted on the Carelon provider portal, but did you know that our Provider Connections news blog is accessible from each solution’s microsite? Microsites are mini websites that give information about Carelon solutions, such as Radiation Oncology. You can access the News blog site to see our current and past issues of Provider Connections – the pilot issue was distributed fourth quarter 2022.
Did you know that the Carelon MBM Guideline Development team conducts a systematic evidence review to inform both new guidelines and annual updates? A key component of the process is an assessment of the collected evidence by a trained methodologist using standardized tools such as Quality Assessment of Diagnostic Accuracy Studies (QUADAS), Standards for Reporting of Diagnostic Accuracy (STARD), Diagnostic Accuracy Quality Scale (DAQS), and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE).
These tools provide a systematic way to determine whether a particular article meets the standard of quality needed to inform clinical decision-making. They take into account such factors as bias, the size and composition of the study group, and the statistical methods used to evaluate the findings.
For more information on our evidentiary review process, visit: https://aimspecialtyhealth.com/why-aim/evidence-based-care/
Available 24/7, each of our MBM solution microsites include valuable resources for you and your peers.
Visit our Resource pages to learn more about our programs and access helpful information and tools including:
Updates are applied to our solution microsites frequently, so we encourage you to visit them often to ensure you have the latest program information available.
For easy future reference, be sure to bookmark the Resources page/s that match your specialty.
MBM solution provider microsite Resources links:
Have you visited our Carelon Medical Benefits Management website recently? Check out the latest updates for providers.
Another great complimentary resource you may want to bookmark is our Carelon Medical Benefits Management website for continued easy access to our provider portal and tools, new program information, important program enhancements, training opportunity news, access to our Provider Connections news blog and more: https://www.careloninsights.com/medical-benefits-management/specialty-care
There is a convenient Providers drop down menu in the navigation bar that provides quick access to such tools as:
*From our clinical appropriateness guidelines and cancer treatment pathways page, you can now conveniently toggle between our Provider Connections blog page and the guidelines page.
Direct access to Carelon Post Acute Solutions program info and provider resources
Through our post acute care programs, we ensure patients receive quality, seamless care when and where they need it most, such as the home or a post-acute care facility..
We do this by working with providers like you or our own local network to align care with the latest evidence and health plan care management plans.
If you service post-acute solutions members, you’ll also find convenient access from our Providers drop down menu to: