Case Study

NYUPN

NYUPN

Pages 1 Pages

PATIENT HEALTH GOALS Identify out-of-network utilization and share key performance metrics with providers to identify referral trends and thereby improve in-network utilization NYUPN RESULTS Within weeks, NYUPN was able to build reports needed to have successful, data driven conversations with their physicians. Education on out-of-network utilization trends led to an increase in in-network utilization by 5% within one year. Increasing in-network utilization results in millions of dollars for health system risk contracts and a more coordinated, high quality care team experience for patients. SOLUTIONS USED • Identify drivers of out-of-network utilization such as types of conditions, and particular providers whose patients are most often treated out of network

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