Network Design
Network Design is a capability that risk-bearing entities use to identify and partner with high quality providers. Network Design is often an important precursor to value-based contracting because larger groups will have more negotiation leverage and because a high performing network of providers allows for more control over costs and other value-based care outcomes. Companies that provide Network Design services are typically also able to provide
Care Navigation
services.
Criteria:
• Analytics to evaluate provider quality and/or provider cost
• Ability to evaluate and advise on network adequacy, or network completeness against a set of service- and geography-based requirements
10 Results
Serif Health
Serif Health
(2 Transcripts)Serif Health provides healthcare price intelligence and contract management solutions.
CareJourney
CareJourney
CareJourney is a healthcare analytics platform offering pre-packaged claims data, as well as data integration, market analysis, network optimization, physician performance benchmarking, patient segmentation, and support for value-based care models.
Definitive Healthcare
Definitive Healthcare
Definitive Healthcare is a data and analytics platform that provides detailed profiles of healthcare providers, market level data on providers, and trends in healthcare utilization and outcomes.
Embold
Embold Health
Embold Health is a provider data and analytics company that specializes in assessing physician performance and providing network design and care navigation services for employers and health plans.
Garner Health
Garner Health
Garner Health uses a claims database with over 60 billion records from 320 million patients to identify healthcare provider quality for use in care navigation.
J2 Health
J2 Health
J2 Health is a provider analytics company that helps health plans design provider networks that meet network adequacy, quality and marketability standards.
Lumeris
Lumeris
Lumeris is value-based care company that provides health systems, payers, and providers operational support, technology, and consulting services.
Privia
Privia
Privia is a national physician organization comprised of regional physician groups, provider networks organized in ACOs and IPAs, and MSOs offering administrative services focused on value-based care.
Trella Health
Trella Health Marketscape
Trella Health is a healthcare analytics company that offers data, analytics and consulting solutions primarily geared towards post-acute care and referral management.
Turquoise Health
Turquoise Health
Turquoise Health is a data platform that provides price transparency data and payer-provider contracting solutions.