High-performance health plan networks: early experiences.
Health plans have introduced high-performance networks to encourage use of network providers--predominantly physician specialists--deemed high performing on efficiency and quality measures. Early adopters of these networks are large national employers, and, while other employers are interested, actual adoption has lagged, according to a study by the Center for Studying Health System Change (HSC). Enrollment in products using high-performance networks is limited, and objective evidence on the impact on service use, costs and quality is lacking. Early lessons learned indicate the need for effective communication between plans and providers, use of both efficiency and quality measures, industry standards of provider performance, and employer support.
Draper
Debra A
DA
Liebhaber
Allison
A
Ginsburg
Paul B
PB
D003363:Cost Control; D004526:Efficiency; D006264:Health Benefit Plans, Employee; D006801:Humans; D010816:Physician Incentive Plans; D011787:Quality of Health Care / Q000706:statistics & numerical data; D014481:United States