Network Optimization Case Study Humanizing Data for Purposeful Change AArete.com | 312.585.0800 SITUATION APPROACH RESULTS A Medicaid Managed Care Organization’s (MCO) network of Primary Care Providers (PCP) included a substantial portion of low-quality, high-cost physicians. The MCO reported that the network performance was increasing overall costs and negatively impacting member experience. The organization approached AArete to optimize the PCP network by increasing the proportion of high-quality, low-cost PCPs. Using insights from stakeholder interviews and plan analytics, AArete identified key HEDIS measures for the plan and segmented the provider network by cost, risk accountability, provider specialty, high-cost member impact, and other variables. With this information, we cr

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