If you’re not optimizing your network, you’re not growing. It’s no surprise that tiering networks has become a popular method of guiding patients to high-value providers, managing overall costs, and including ‘frenemy’ networks at various levels of access. The growing motivation behind the value segmentation strategy is to succeed in different types of risk products including commercial and Medicare Advantage.
Beginning the journey toward the high performing network model may sound like a large undertaking, but with practical application of the right recommendations the process can be simple and easy to administer. Our experts identified three important criteria every network tiering strategy needs to succeed.