Clinical Connections

Medicine advances rapidly. At Carelon Medical Benefits Management, we understand emerging science and real-world clinical practice and apply what’s been proven effective to benefit health plan members.  Our team of specialized clinicians, medical librarians, and evidence researchers conduct rigorous, robust evidence surveillance.  We collect and analyze data from thousands of studies, guidelines, and the many millions of case reviews we conduct each year. Our research informs the clinical criteria embedded into our automated platform and fuels the logic of our review process, creating an efficient experience that’s also clinically credible. This commitment to clinical best practices is the foundation of our business.