CONCURRENT UTILIZATION

Understanding how members are currently utilizing networks, physicians, hospitals, and other plan resources can be invaluable in managing a health plan. Without understanding how the patients are currently utilizing plan resources, it is difficult to craft solutions that can lead to better health outcomes and better cost performance. Appropriate use of high cost settings can improve health and patient satisfaction as well as impact cost. The appropriate mix of place of service settings can profoundly impact the plan cost.



Network performance metrics can assist a plan in devising strategies that improve care and reduce cost.