Network Design

Network Design is a capability that risk-bearing entities use to identify and partner with high quality providers. Network Design is often an important precursor to value-based contracting because larger groups will have more negotiation leverage and because a high performing network of providers allows for more control over costs and other value-based care outcomes. Companies that provide Network Design services are typically also able to provide Care Navigation services.

Criteria:

  • Analytics to evaluate provider quality and/or provider cost

  • Ability to evaluate and advise on network adequacy, or network completeness against a set of service- and geography-based requirements

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