Successfully engaging providers and their staff can have a dramatic impact on health plan performance. Health plans find that involved providers lead to improved clinical outcomes and quality ratings, member retention, and overall efficiency. Achieving meaningful provider engagement requires alignment between the quality and financial goals of the health plan and the quality and financial goals of the provider practices. The essential elements to provider engagement with the goal to improve quality and disease coding include the following:
The following are several important best practices for achieving provider engagement:
Health plans that consistently communicate a clear vision with specific goals to providers leveraging intuitive technology with data-driven insights are able to achieve efficient, actionable provider engagement. Those providers are then able to improve both quality outcomes and financial performance.