High-value networks are an essential component of Healthcare Highways’ effort to reduce healthcare costs. But to be successful with the clients and members we serve, we must work with healthcare systems and participating providers to create value through demonstrated quality and service at a reduced cost.
In a Healthcare Highways partnership, providers lead the effort to keep healthcare local, so they can change their care models based on the local population’s needs. Through increased coordination and transparency, Healthcare Highways offers integrated network and plan benefits, along with data, reporting, and risk-management capabilities that allow providers to make outcomes-based decisions.
This means providing our members with a better healthcare experience by collaborating with our network providers to design and provide the tools and actionable data they need to deliver better care to every member every day.
Our role is to strengthen appropriate and timely engagement between the primary care physician and the member so that members get the care they need at the right time and place. Practical applications include:
We contract with providers who believe as we do: health plans should be collaborative, flexible and support progressive ideas that have the potential to improve the health of our members without being prescriptive. We seek providers with a track record of improving quality and lowering the cost of care. In our supportive role to participating providers, we focus resources on our core values:
We believe that care coordination is most effective when primary care providers and their care teams engage directly with their patients assisted by our supporting role. We also understand the importance of flexibility when meeting providers where they are in their own understanding and use of patient engagement. This means that care coordination sometimes is performed by Healthcare Highways Health Plan through our care coordinators and other times we leverage innovative and successful care coordination programs already established in provider practices.
Allows us to manage patient information, costs, and performance across our full network of providers by:
Providers may participate* in bonuses for both practice efficiencies and quality outcomes.