Difficult times require more than short-term benefits package unit cost discounts.
A high-performance network offers a cost-effective solution to the continued rise of health plan premiums, while sustaining employee benefits. Selection criteria for physicians in these networks vary but most include metrics around referral management, providing efficient care, and the provider’s demonstrated ability to produce positive patient outcomes.
Traditional networks rarely offer performance-based incentives to physicians. Making matters worse, the typical fee-for-service 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 pay lower premiums and out-of-pocket costs and employers enjoy lower healthcare costs long-term.
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. Carefully selected, high-performance networks deliver what employers need to quell inefficient care and rising costs, while increasing improved patient outcomes which sustainably lowers premiums for employers and employees.
This sustainably lowers healthcare costs overall for employers and employees alike, strengthening cashflows from the dining room table to the boardroom.
Learn more about high-performance networks by downloading our free e-guide.