Solving the Health System Network Management Challenge with High Quality Provider Information

For a health system's network management team, the single most important question-often not easily answerable is:

Which providers are in ... and out ... of the networks they manage?

• Providers average 20+ memberships in health plans, ACOs and clinically integrated networks – which change annually
• 67% of providers joined or left an ACO during 2012-2014
• Network participants are managed in basic tools (excel)

Tracking your providers’ affiliations is vital for compliance and value
 based care success.  Yet today, there’s been no single tool for managing provider affiliations.  You’re probably using a spreadsheet.  (What joy.)

This whitepaper highlights the challenges that today's network management leaders face closing provider information-related gaps in the pursuit of an effective network management strategy. Key functions such as provider recruiting, ensuring network adequacy, and provider outreach can all be more efficient with high quality provider information.

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