Treating Your Provider Network As A Strategic Asset
As someone who has worked within the healthcare industry for 20+ years, I have seen a broad spectrum of healthcare models arrive on (and disappear from) the scene. Those that have been successful share a common trait: They treat their provider network as a strategic asset that drives bottom-line results.
When well-managed, a strategic provider network does far more than boost membership. It strengthens the health of a system that, in turn, strengthens the health of people of all ages.
This recognition of the multifaceted value of a strategic provider network lies at the very foundation of our work at Belong Health. While it might be easier to focus myopically on membership numbers, we remain fueled by a passion for data and analytics, for health equity, and for viewing every provider and member engagement through the invaluable lens of behavioral science.
Such a model is unique not solely because we partner with local and regional health plans on furthering successful D-SNP programs, but also because our partnerships are crafted via specific methodologies that routinely drive success. We center our approach on thoughtful consideration of the entirety of a network — and on getting to know the local flavors, the daily lives and habits, within the communities being served.
Eager to see how it’s done? Here’s our step-by-step approach to building a high-performing network:
Step One: Network Assessment
We start by conducting both qualitative and quantitative evaluations of our local health plan partner. During this assessment, we transparently share referral patterns. We speak candidly about total cost of care. We identify paths that lead to better quality, stronger outcomes, and lower costs. We offer small practices the same powerful data they’d gain from larger health systems — but, then, we go several steps further.
We lean in to help them tailor a path forward.
Across all of our work, our team members are deeply invested in the practice of health.
Ours is a robust assessment process, through which we determine the appropriate styles of interaction with various physician types — and, in turn, aim to generate the best health plan outcomes available.
Linking arms with our health plan partners, we conduct a deep dive into diagnostic conditions documentation, with an eye towards addressing Star gap closure and a clear assessment of total cost of care. One of our main objectives, as a result of this thorough process, is to strengthen the medical loss ratio, which often translates to better benefits, stronger membership numbers, and predictable, steady growth for any product type.