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Why clinical expertise counts

Misdiagnoses happens more often than most people think, leading to: 

  • Unnecessary surgeries 
  • Costly specialty drugs 
  • Lost productivity 
  • Increased member stress  

Without expert validation, the consequences add up quickly. 

Patient talks with a healthcare provider in an exam room.

Expert opinions, built into navigation 

We proactively identify cases where a second opinion can reduce unnecessary care and help control costs. 


Independent expert review of diagnoses and treatment

Evidence-based recommendations from specialists

Early intervention before high-cost procedures occur

Coordination with existing providers

Ongoing member support





Cleveland Clinic

Virtual second opinions from Cleveland Clinic

When members face complex diagnoses or major treatment decisions, Cleveland Clinic Virtual Second Opinions provide access to nationally recognized specialists across hundreds of medical and surgical subspecialties. Expert review helps validate diagnoses, evaluate treatment options and reduce unnecessary care. 

Mayo Clinic

Complex care expertise from Mayo Clinic 

For members facing rare, serious or high-cost conditions, Mayo Clinic's Complex Care Program provides multidisciplinary evaluations focused on achieving the right diagnosis and treatment plan. By identifying misdiagnoses and unnecessary care, Mayo Clinic helps improve outcomes and support more effective healthcare spending. 

Access Hope

Oncology expertise from AccessHope 

AccessHope connects members with subspecialists from National Cancer Institute-designated Comprehensive Cancer Centers who review cancer diagnoses and treatment plans. Their guidance helps ensure members receive evidence-based care while remaining close to home. 

Bring clarity to complex care 

Let’s discuss how an expert second opinion strategy improves outcomes and increase cost savings.