A high-performance network offers a cost-effective solution to the continued rise of health plan premiums, while concurrently sustaining employee benefits. Selection criteria for physicians is stringent and includes performance metrics around:
Traditional networks rarely offer performance-based incentives to physicians. Making matters worse, the typical fee-for-service (FFS) model on which these traditional networks operate only reimburse providers for the number of services they provide, whether they were necessary to begin with or not.
High-performance networks, on the other hand, reward physicians for delivering efficient, outcome-driven care that results in improved patient health outcomes. In exchange for a consolidated, high-performance network of quality providers, employees benefit, as:
High-performance networks can be a valuable foundation in a health plan when the benefit structure is designed to help members take full advantage of in-network services.
This sustainably lowers healthcare costs overall for employers and employees alike, strengthening cashflows from the dining room table to the boardroom.