This article is part of a series in which we interviewed 3 seasoned provider network development experts with decades of experience building high quality provider networks for health plans.
Our conversations with Mary, Mike and Leslie yielded several insights and tips into building a stronger provider network. (Names have been changed for privacy)
In our previous installment, we talked about the various lessons that we’ve learned throughout our time spent helping health plan providers develop their networks. We discussed how network development is more than just a service, we talked about the need for organization and constant reporting to drive insight and efficiency, and we talked about being open to providers about our capabilities. In other words, we can’t oversell ourselves, our planned networks, or the capabilities of our network. Each of these lessons have helped us to learn just how to navigate the industry and ensure that we offer an optimal network development service with each and every health plan client.
The 1st-level needs that we discussed in the previous article help to set the stage for the more complex, and more specific 2nd-level needs that we will discuss in today’s article regarding navigating the industry.
So, just how do we navigate the industry? Take a look below and let’s discuss this idea further.
Offering Different Level Representatives To Health Plan Clients
When it comes to working with health plan clients, it’s safe to say that they’re heavily involved in one of the fastest moving and most complex industries that the world has ever seen. For that very reason, depending on only one or two representatives to accomplish a massive network development project is risky.
Best-in-class network development partners offer different tiers of representatives to help complete a specific project. They provide junior-level data entry staff who help build the datasets that will eventually power the network. Next, they deploy outreach representatives to help identify the unique needs of each provider. From there, managers and directors fill the leadership roles to ensure that each level of representatives are puling their weight and operating under a unified strategy. Not only does this multi-tiered approach help to optimize the initial network buildout and drive efficiency, but it also helps to assure providers that they are working with a professional, high-quality health plan payer.
Keeping Your Representatives Around After the Project Is Complete
In many development firms, representatives are often contracted out to complete development projects and then move on. However, throughout our time in the industry, we learned that keeping representatives after completing a project accomplishes 2 key objectives:
- You can offer post-development support to contracted providers, which helps measure network adequacy, implement changes in provider manuals, and improved provider relations.
- A consistent and reliable team reduces the learning curve and time to complete the next buildout. This allows for more tailored solutions to meet individual client needs.
These 2nd-level needs are just two small facets of what it takes to develop networks for today’s massive healthcare and health insurance industries. Stay in touch for our third installment of this series to find out how we’ve been able to leverage our experience in the industry to offer our network development clients something new.
Keywords: Insurance, Health Insurance, Network Development, Network Developers.
Need help building your network? Or implementing new tools to empower your in- house team?
Here at Paragon Technology Partners, we combine best-in-class technology with best-in-class services to help a wide range of clients. In addition to network development, we also provide solutions and services designed to help providers and payers meet the ever-changing needs related to population health and value-based care. Reach out today to learn more about how we can help.