Network Development Strategy
We have designed a highly efficient Provider Network Development and Network Management process for a local or large-scale network with the ability to manage thousands of provider managed care contracts. Our provider selection process identifies the highest quality Providers based on their quality performance measures.
Quality Provider Performance
Robust data-sharing and effective quality measurement plays a critical role as well in identifying providers delivering quality care at a lower cost. Quality standards for our Networks are well-defined, rigorous, and derived from sufficient data in order to drive performance delivering quality outcomes that make a substantial impact on health care spending.
Provider Payment Models - Value Based Model
Our value-based programs are important because they’re helping us move toward paying providers based on the quality, rather than the quantity of care they give patients.
Value-based programs reward health care providers with incentive payments for the quality of care they give to people with Medicare. These programs are part of our larger quality strategy to reform how health care is delivered and paid for. Value-based programs also support our three-part aim:
- Better care for individuals
- Better health for populations
- Lower cost
Technology Solutions
Aspire Healthcare brings together in one toolkit the best Technology partners to support our High-Performance Network. Our solutions include: clinical integration, health data analytics and modeling, provider and patient portals, virtual health, symptom checker, AI, health & wellness tools and more.
Clinically Integrated
Our Clinically Integrated Network improves the performance of our Providers and care teams by sharing patient medical information for a more efficient team approach to healthcare delivery, reducing duplication of health services, improving prompt healthcare delivery, reducing unnecessary hospital and other healthcare services.
Whole Person Care Model
Our care model both enhances and optimizes healthcare services by focusing our resources specifically on personalized proactive care and coordinating the information with Providers and Care Teams. We operate within our framework to manage our complete care responsibilities and then interface the meaningful data to our healthcare partners to provide the most current clinical data and trending information for action.
Population Health Management
Our Population Health platform allows users to perform Health Management and Care Management Services, including Closing Gaps in Care, Transitional Care Management, and improving evidence-based guidelines. It includes its own aggregate data analytic tools with drill down to the patient and, if available, the provider level so users can evaluate program performance at all levels and take immediate action. It also houses eRefer, a referral management tool for clients who do that type of patient outreach.
Care Navigators
Our care navigators are patient advocates that specialize in understanding social determinants of health and how they impact the compliance of care plans. By listening to the patient and understanding their issues and concerns, our care navigators can help set doctors appointments, transportation, secure DME, connect to local senior services or find vendors to help them as needed.
Peterson-KFF Kaiser Family Foundation Health Tracker
Collectively, employers are the largest purchaser of health care in the United States, providing benefits for over 153 million people. There is considerable interest in how employers can use their purchasing power to improve quality and reduce cost in the healthcare system.
This analysis includes an overview of strategies employers are implementing and offers a deeper understanding of the successes, barriers, and trade-offs firms have experienced in their network decision-making. This report combines data from the Kaiser Family Foundation’s (KFF) 2019 Employer Benefits Survey with findings from three focus groups with 25 human resources managers, held in collaboration with the Society for Human Resource Management (SHRM) and Human Resource Executive (HRE). Read the study here!
