The promise of value-based care is to deliver the best outcomes at a lower cost. Providers are incentivized to keep members healthy by proactively managing the health needs of the members, delivering high quality care while reducing the use of unnecessary tests and treatment. Self-funded employers have a lot to gain from this model in higher quality,…
Category: Network Management
Bringing structure to your musculoskeletal benefits
No organization can be competitive in the global economy without healthy and productive employees. Employer-sponsored health insurance plays a significant part inĀ maintaining employee health, unfortunately most plans' designs are reactive in nature, focusing heavily on providing medical services after employees get sickĀ and not much on helping employees and their families improve their health. That has…
Narrow network and value-based-care are not the same thing for employers
Narrow networks have been in the news for the last few years. A number of carriers have started to offer this to employer-sponsored health plans as well as to individual marketplace. This concept is marketed differently than what it really is. Narrow network is essentially a higher discounting method based on an assumption that a…