Primary Care Provider Network Empanelment Assessment and Optimization

Right care, right time, right place.

Core to health care delivery transformation efforts and subsequent success in population health is empanelment. A defined and finite patient population allows each provider and care team to focus on assigned members and patients.

New population health models are seeing primary care providers (PCPs) play a greater role, especially regarding access, engagement in care management/care coordination strategies and chronic disease management. Having insight and clarity on a provider’s empanelment then becomes more imperative as PCPs and primary care networks look to take on more population health management responsibilities.

 

Our Approach

Our team of experts can perform a current state assessment and conduct an attribution analysis and complete a comprehensive review of panel structures. Our assessments are guided by our client’s short and long-term objectives in revising provider panels and improving alignment with payor panels.

Our team also reviews current panel structures along with national best practices as we evaluate opportunities for improvement and establish the scale of change necessary to meet our client’s targets.