Make patients the center of your provider network

AlenaHeadshotAll providers have one thing in common: they want their patients healthy and happy. Physicians, specialists, pharmacists, therapists and others work to deliver the highest quality care they can. But they primarily coordinate services independent of other providers.

As value-based models become the norm, health care providers are quickly realizing that collaboration and cooperation between specialties can be powerful. One model that’s showing promise is the development of patient-centered networks that bring together providers from all parts of the care continuum.

The Spring/Summer edition of Optum RISKMATTERS addresses how some health systems are creating patient-centric provider networks focused on prevention and keeping people healthy. Optum experts explain that a fundamental building block for such an advanced delivery system is to have a multidisciplinary team providing primary care that includes other functions, such as behavioral health and social services.

Though not easy to build, patient-centered networks are viable if providers understand the dynamics of their markets and determine how fast they’re moving toward value-based care. Health system leadership should consider the following when developing their network:

  • Construct a multidisciplinary team from across the health continuum, starting with primary care and then adding specialty care and ancillary services
  • Put more focus on outpatient services
  • Incentivize primary and specialty care around the total cost of care for primary care and around episodic care for specialists
  • Share clinical information with all members of the multidisciplinary team
    Agree on quality metrics

Download the latest edition of RISKMATTERS here to read more about building patient-centric provider networks and how they can improve care on all levels.

 

About the Author:

Elena White currently serves as Vice President of the Risk Quality & Network Solutions division for Optum. She has over 18 years experience leading network optimization initiatives, network development and expansion, business planning, provider reimbursement development, transformation to risk based arrangements and medical cost management strategies for both health plan and provider organizations.

Elena holds a Bachelor’s Degree from University of California at Riverside and Master’s Degree in Business Administration from Loyola Marymount University.

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