NI-Network Insights logo. Monitor member coverage and provider outcomes to create high-performing provider networks.

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 Scorecard: Member Profile
Provider-Dashboard-image only

Analyze provider performance by member age bands

Compare chronic condition counts between provider and peer group

Provider Scorecard: Claim Summary
ACO Cost
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

Pandemic fuels 2021 healthcare megatrends

Pandemic fuels 2021 healthcare megatrends

February 4, 2021

When I wrote about megatrends last year, the predictions were, naturally, forward-looking. Telehealth, for example, was important because of increased healthcare consumerism and the convergence of technologies to make its use quick and easy for payers, providers and patients.

Read on...

Measuring provider cost and utilization

January 19, 2021

No matter the time of year, payers and providers should work to agree on a shared source of truth when it comes to data. With the recent end of the year, it’s time to celebrate the new year (who isn’t ready to say goodbye to 2020?) and close the books, which includes the reconciliation of any shared savings or losses.

Read on...
Data visualization: A picture is worth a thousand…healthcare data points?

Data visualization: A picture is worth a thousand…healthcare data points?

January 12, 2021

The amount of data produced daily has grown exponentially with nearly 90% of the world’s data generated in the last two years alone. To ensure we can make sense of this data, analysts must find meaningful ways to present the information to their audiences.

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Crystal ball not necessary: predictive analytics helps health systems reduce denials

September 2, 2020

The idea of having a crystal ball to better understand what claims will be denied is an awesome concept. But one we can’t rely on. Thankfully, we have predictive analytics to take the place of a crystal ball.

Read on...

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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.

QI

Quality Insights

Activate insights into population health and quality to improve satisfaction and outcomes for members and maintain a competitive position in the market.

 

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EI

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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NI

Network Insights

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

 

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