Use physician quality to target the right providers
Provider networks are adapting to meet new regulatory requirements and changing plan goals. The market demands that networks have the right combination of access, cost, and quality.
You can meet that demand with Zelis’ Network Modeling platform. Combine your internal provider data quality metrics with physician quality data powered by physician experience, quality of care, and patient risk factors from third party sources to manage networks that meet your own custom criteria.
For health and dental plans looking to optimize their networks, Network Modeling helps them quickly iterate network designs, leveraging additional cost and quality attributes.