Manage Network Strength

Manage Network Strength

Strengthen Network Utilization

Every healthcare provider knows the crucial role authorizations play in managing utilization. They help hold the line on resource cost while ensuring patients get the right care at the right time.

But healthcare leaders can do more to take network utilization to the next level. They can also take a preemptive look at leakage and analyze which service offerings encourage patients to stay in-network. By doing this, organizations can move toward the ultimate aim of better care at lower cost.

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Convert network leakage into new revenue opportunities

Looking at leakage and utilization patterns, healthcare providers can invest in the right services to retain patients and ensure optimal resource allocation.

To do that, care delivery organizations must understand patient activity across the continuum of care. Paired with predictive analytics, that data gives you the power to recognize where and why leakage happens—then fix it. Partner with Medecision to:

  • Leverage population data to understand how patients move and consume resources within a provider network
  • Determine where provider network leaks occur and deploy strategies to keep patients in-network
  • Monitor and manage referral patterns to optimize network revenue
  • Capture care for accurate reporting

Authorizations are just the first step in utilization management. Data and predictive analytics can help healthcare providers offer the right care, at the right time and in the right settings to improve care quality and cost.

MEDECISION’S ADVISORY SERVICES TEAM OFFERS EXPLORATORY ASSESSMENTS TO HELP YOU IDENTIFY OPTIONS AND STRATEGIES TO ACHIEVE CLINICAL AND FINANCIAL SUCCESS.

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