Network Optimization
Better outcomes, improved quality and access, lower total cost of care
Why payers are struggling to optimize their network performance.
Payers need timely and unified intelligence to balance access, quality, and affordability.
Payers struggle to see which providers deliver great outcomes, where members lack access, and where referrals leak out of network. Without a complete picture, it’s hard to keep care local, affordable, and coordinated. Under value-based arrangements, these challenges intensify, making data-driven, proactive network optimization essential for sustainable financial and quality performance.
“We now have a true line of sight into network performance. MedeAnalytics allows us to target improvements, close gaps, and build relationships that deliver measurable value for members and providers alike.”
Vice President, Network Strategy, National Health Plan
How MedeAnalytics helps you optimize total cost of care without compromising quality.
With MedeAnalytics, you can monitor coverage and provider outcomes to create high-performing provider networks.
With network performance analytics, you’ll bring together cost, utilization, quality, and social risk data so you can see how your network is performing by specialty, geography, and provider.
Because the right network changes lives. We help payers manage complexity and obtain clarity by empowering teams to make decisions grounded in insights, guided by empathy, and focused on improving outcomes for all.
Key capabilities of the MedeAnalytics network optimization solutions.
Transform network management into network intelligence with an AI-powered data platform and analytics to:
- Recruit and retain high-performing providers using scorecards (efficiency, quality, HEDIS, risk) and peer comparisons
- Spot and reduce leakage with geospatial views of referral patterns, member travel, and in/out-of-network use
- Improve access by mapping coverage gaps
- Align contracts to value through transparent attribution and performance-based comparisons
- Guide care to the right place by identifying efficient PCP and specialty utilization and improving coordination
Optimize your provider network performance to improve care, access, quality, and cost.
MedeAnalytics intelligent analytics, expert advisors, and planning tools deliver transparency, collaboration, and sustainable performance.
Learn more about how your analytics can drive action
Gain powerful insights into provider network performance and efficiency
When network decisions are grounded in comprehensive data and analysis, payers can better support and engage providers in performance improvement initiatives and facilitate value-based contracting. Having this insight allows payers to steer members to the right providers, establish tiered networks, and improve the quality and cost of member care. Learn more
Putting analytics to work: Strategies to engage providers in data-based behavior change
This eBook explores how healthcare organizations can better engage providers in value-based care by turning data into actionable insights. It highlights the role of provider-friendly analytics, especially dashboards, in driving performance improvement, cost efficiency, and better patient outcomes. Learn more
Improve provider network performance, costs, and value
MedeAnalytics Network Insights enables health plans to optimize provider network performance by analyzing cost, quality, and utilization data to identify high-value providers and improve contracting strategies. It empowers payers with actionable insights and benchmarking tools to reduce costs, enhance outcomes, and drive value-based care initiatives. Learn more
