Regional health plan standardizes and improves performance scores with the quality analytics
December 17, 2024
Health plans use provider benchmark and scoring data in a variety of ways from network design, benefits tiering and member guidance to planning for value-based care (VBC) and population health needs. The challenge is often that different teams use various data sources and methodologies, making it difficult to consistently measure providers for their patient panels and their specialties. This can be costly for the plan, and it can be confusing for providers. One regional health plan sought a new path to measuring performance to address these issues with a more standardized and transparent approach to provider performance. They chose Clarify to improve scoring methodologies and streamline provider performance analytics, resulting in significant cost savings while improving care quality and access throughout the network.
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