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 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

Data and Social Determinants of Health

December 19, 2019

By Scott Hampel – I think a lot–and I’m not the only one–about how we can improve the ways we pull information from data. Data on its own is inert: just waiting to be understood and then used. And that’s a major challenge for many organizations. Data is often trapped in different applications with no easy or convenient way to extract it.

Read on...

Why Social Determinants Need Analytics for Success

December 10, 2019

Many challenges face healthcare’s underserved. There are issues with food, housing, reliable transportation, steady employment and more. Each contributes to and is one element of social determinants of health (SDH). In communities around the world, public and private organizations are taking steps to address SDH-related issues and challenges that negatively impact healthcare.

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Healthcare Organizations Recognize Importance of AI for Reporting

November 21, 2019

Healthcare providers continue to recognize the value of using AI in reporting operations throughout the organization. AI has many strengths when applied to the healthcare industry:

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Why It’s Time for Healthcare to Move Toward AI Reporting

November 5, 2019

Business intelligence (BI) was a dramatic and significant step forward in healthcare industry reporting and a natural transition to artificial intelligence (AI) enabled real-time insights.

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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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