Texas Association of Community Health Plans

We look forward to getting to know more about your organization, as part of the Texas Association of Community Health Plans. If it’s true what they say, and everything is bigger in Texas, then you probably realize health care is more complicated than it needs to be. What if you could be part of the solution to transform health care as we know it – to make it more affordable, predictable and simple? Working together, we can take on your toughest challenges, expose opportunities to reduce costs and increase profitability, and help you prepare for what’s next.
We look forward to getting to know you
Scott Fitzgibbon
Scott Fitzgibbon
Vice President, Health Plan Sales
I am looking forward to getting to know your teams and digging in to find opportunities for us to grow together and work toward improved health for all. With the recent formation of our health services portfolio, Evernorth, we're better positioned than ever to support you and your clients and to create a better experience for your members, your team and for providers.
Elevating health means reimagining how we partner. With open collaboration and unbiased guidance, we strive to deliver flexible, focused solutions under our new health services brand and portfolio.

Introducing Evernorth
Managing medical benefits
Through eviCore healthcare, we ensure members receive the right care at the right time.
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Managing medical benefits

Achieving savings and growth through effective utilization management

eviCore healthcare currently provides utilization management for more than 100 health plans with over 100,000,000 members. When one client came to our team, experiencing financial and growth challenges, we were able to do a thorough analysis of the claims file, to identify significant savings opportunities made possible by initiating prior authorization programs supported by the industry's most comprehensive sets of evidence-based clinical criteria. eviCore healthcare took on risk and guaranteed savings as programs went live. Within one year, significant improvements were reported by the client.
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$3.6 million savings in first year
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Growing membership across multiple states and markets
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Continued collaboration through quarterly performance meetings

Explore additional solutions

Healthy Ways to Work
In a world dramatically changed by COVID-19, we’re helping our partners and their employees navigate new realities. Explore agile solutions focused on helping people return to a healthy, safe, and productive workplace.
Embarc Benefit ProtectionSM
Gene therapy has the potential to change lives, but even a single treatment can cost millions of dollars. Embarc Benefit Protection shields members from these high costs, so that people who need treatment can get it.
By 2025, 10 million couples will have trouble starting a family. FamilyPath is raising the bar for fertility health by providing more comprehensive, more flexible coverage and proactive care for growing families.
Advancing mental health through a behavioral health care solution that can complement your existing traditional employee assistance programs (EAPs) or other wellness initiatives with medication-focused treatments to create a holistic, comprehensive approach to mental health care.
Digital Health Formulary
Over 300,000 digital solutions flood the marketplace. Our Digital Health Formulary simplifies navigating the vast landscape and vets solutions for clinical effectiveness, security, compliance, value, affordability and a user-friendly experience.

Helpful resources to manage your plan

Explore the latest content and tools focused on helping you navigate changes in the dynamic health care industry.
Employer guide
A guide to investing in better health benefits
COVID-19 has accelerated the gaps in our fragmented health care system. We partnered with Quartz to create a guide on offering personalized and data-driven solutions.
Bloomberg video
A solution for life-threatening medical errors
Medical errors are the third leading cause of death in the U.S., but connecting health care to give physicians a 180-degree view of the patient can prevent many of these mistakes.
Bloomberg infographic
Health care needs a makeover
From reducing cost and complexity to increasing quality, connected care offers tremendous potential for the U.S. health care system. We partnered with Bloomberg to illustrate the possibilities connecting health care creates.
COVID Vaccine Series
COVID-19 vaccine video series
Join John Wigneswaran, MD, Vice President and General Manager as we make sense of clinical issues affecting businesses, starting with rapidly evolving news surrounding COVID-19 vaccines.

Fragmented drug management strategies may be costing you

Medical drug spending is expected to increase by 33% by 2023. With specialty costs rising rapidly, you may be seeking new ways to manage spend and optimize administrative efficiencies. See how our approach to integrating medical drug management optimizes drug savings across pharmacy and medical benefits, enabling better efficiency, greater savings and improved safety.
20% 20%
of claims in the highest specialty spend categories are duplicating work within plans
50% 50%
higher specialty drug approvals vs. traditional approvals within the last 4 years1
$128B $128B
projected medical spend in 2023 – a 33% increase from $96B in 20182
Learn more
We're committed to helping health plans grow. I look forward to continuing the conversation about how we can help partners of Texas Association of Community Health Plans. Please reach out to me if you have any questions.
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