Network Insights

Monitor member coverage and provider outcomes to create high-performing provider networks

Executing network and provider performance analyses has historically been a very manual, time-consuming process with variable results. With value-based payment models expanding and focus on outcomes increasing, this method of monitoring is becoming obsolete. Smart health plans are replacing the manual work with automated, self-service analytics engines that offer an integrated view on network performance, provider patterns, cost of care and utilization trends.

Delivering comprehensive analytics solutions to strengthen your network

Challenge
Solution

Manual provider analysis processes consume significant time and resources unnecessarily

Challenge
Solution

Struggle to engage providers in performance improvement initiatives

 

Challenge
Solution

Difficulty adapting to value-based payment arrangements

 

Analytics in action

Our intelligent platform and intuitive user interface make it easy to unlock the value of your data. In as little as three clicks, we bring meaningful insights, powerful visualization, and analytics innovation to help you make an even bigger impact at your organization.

 

As you click through our example dashboards, hover over the image to explore a few key features.

Provider Index
NI-Provider Index

Compare provider performance against his/her peer group for the same measures

Drill down into provider details to identify performance improvement opportunities

Provider Scorecard: HEDIS Overview
Provider Scorecard: Claim Summary
Network Leakage
Provider Cost Efficiency

Dive deeper into Network Insights

Download the data sheet to see how you can deploy Network Insights to build a strong network of the highest-performing providers.

Get our take on industry trends

Why “good” isn’t good enough: The hidden cost of sub-4 Star Medicare Advantage performance 

May 8, 2026

Healthcare outcomes have never mattered more, and achieving exceptional performance has never been harder. Many mid-to-large health plans are below the 4-Star threshold in Medicare Advantage (MA).…

Read on...

From conversation to coordination: Key takeaways from OpsIgnite 2026 

April 24, 2026

OpsIgnite 2026 brought together operational leaders from across the Blues ecosystem for four days of candid conversation, practical insights, and…

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You have the insights, converting them into measurable action is the challenge: Becker’s takeaways on the next phase of payer performance

April 16, 2026

The 2026 Becker’s Spring Payer Issues Roundtable brought together more than 500 executives for two days of focused discussion on…

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The gap between insight and performance: What our Becker’s webinar revealed 

April 13, 2026

Healthcare payers are operating under sustained margin pressure. Rising specialty drug costs, post-COVID utilization shifts, Medicaid and Medicare Advantage margin…

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Payer Value Analytics: Our full lineup of payer solutions

Everything you need to step into the future of healthcare and drive real change across populations.

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Employer Insights

Elevate data sharing with employer groups to demonstrate plan value and increase efficacy of risk stratification and care management plans.

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Network Insights

Accelerate provider performance with evidence-based outcomes comparisons, cost-effectiveness analyses, and extensive segmentation capabilities.

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