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Three Strategies to Optimize Healthcare Provider Networks in New and Existing Markets

Clarify Health

Optimizing provider networks is the number one way to do so. Provider networks are the primary tool for health plans to attract and retain new members while optimizing returns. This makes network design a key factor in any member retention strategy. to 30% of the time.

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Aledade, Humana Strike 10-Year VBC Collaboration

MedCity News

Aledade — an independent primary care network focused on value-based care — struck a 10-year partnership with insurer Humana. Under the collaboration, Humana’s Medicare Advantage members will receive primary care from Aledade physicians using value-based arrangements.

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How to scale your network design process

Clarify Health

In this video, Ashley will share three tips to help you design high-performing and market-competitive networks efficiently and at scale. Video transcript: The traditional process for designing and optimizing provider networks is ripe for innovation. However, network design is of central importance to health plans.

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Amazon’s big gamble

World of DTC Marketing

Telehealth has a future, but one could argue that physicians need to see patients firsthand to diagnose and evaluate patients. However, physicians would argue that they also need to see patients in person for many health issues. Quick Read: Amazon will dramatically expand its healthcare reach with its planned $3.9

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Value-based healthcare can help reduce costs

World of DTC Marketing

According to the Kaiser Family Foundation (KFF), in 2021, the average cost of employee health insurance premiums for family coverage increased by 4% from the previous year to $22,221. health insurers report billions as small providers face stress in the first quarter. The answer may be in offering a value-based healthcare model.

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Telehealth concerns rise

World of DTC Marketing

A recent study published in the journal JAMA Network Open found that 60 to 80 percent of patients have been less than fully forthright with their doctors at some point which can be worse with telehealth. According to a survey , close to 60% of physicians have lingering reservations about the quality of care they can provide remotely.

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A Blueprint to Help Provider Networks Become Value-based Care Organizations in 2023

Clarify Health

As a physician, I believe now is the time for providers and provider groups to embrace VBC. Depending on the contract, a provider might share the financial risk with a health insurance company. So, why aren’t more providers and provider organizations switching from fee-for-service (FFS) to VBC? Then, analyze your intended outcomes.