Clinical communities & networks

Improve provider network management and relations

Health plans have made significant investments into their provider networks. People, time, and dollars have gone into securing and maintaining those relationships. Health care reform and other influencers are making your organization’s network even more valuable as you work to build new payment and delivery models.

OptumInsight has in-depth experience in all areas of network management, including analysis, development, and data intelligence.  We also help identify opportunities to optimize the costs of managing your company’s network so you can reallocate those dollars to other areas of the business—or back to the bottom line. 

Articles

To Meet Reform Challenges, Plans Need Payment Accuracy Strategy that Considers Full Array of Analytics Read more.

Navigating MLR Rules Requires Preparation and Planning Read more.

Plans Need to Start Gauging Member Movement Impact Read more.


White Papers

Using Evidence-Based Medicine to Improve Health Care Symmetry® EBM Connect Read more.

Facility Editing Enhance payment integrity while building strong provider relationships Read more.

A Comprehensive Literature Review of Studies on Care Coordination and Other Health Management Programs Read more.