Creating Strategic Advantage for Providers

Providers should embrace multiple approaches if they expect to prosper in a managed environment. Among them are:

  • Create provider networks/panels emphasizing geographic coverage, market share
  • Organize physicians whenever possible; consolidate medical management
  • Group chronic care providers under single arrangement; package services to emphasize value and coordinated care; clinically integrated networks
  • Manage for operational effectiveness
    • Medical and case management
    • Clinical protocols
    • Accreditation, 5-star ratings
    • Replicable rehab results
    • Pharmacy
    • Compliance
    • Quality including metrics
    • Information systems
    • Risk management
    • Training & education