The health insurance industry has created new provider network models aimed at reducing healthcare costs and improving quality, but there has been limited innovation in the network design process. The status quo involves aggregating and cleaning disparate data sets and analyzing them manually. It is cumbersome and time-consuming. It is often a trial-and-error process, taking up to two years to gather enough data to assess a network’s performance. This leads to wasted time, margin loss, and a poor experience for members.

Join for free to read