network design
Analyze network impact
Provider network decisions are difficult to unwind once they’re live, which makes it costly to learn a network change wasn’t the right one after the fact. This capability lets teams strategically build, evaluate, optimize, and manage provider networks in one place, so a proposed change can be tested and understood before it’s implemented. Rather than reacting to network performance after the fact, teams can model outcomes up front and manage the network with confidence as conditions change.
- Build and evaluate provider network scenarios before committing
- Optimize network composition based on cost and quality
- Manage ongoing network changes with a clear view of impact
provider insights
Strengthen your network
Recruiting the right providers starts with knowing who’s actually available and how they perform. This capability gives teams direct access to a comprehensive dataset of provider profiles, complete with cost and quality metrics, so recruitment decisions are grounded in performance rather than reputation alone. Teams can drill into the data to discover providers who strengthen the network’s overall cost and quality profile, then move directly into recruitment with a clear case for the fit.
- Access a comprehensive dataset of provider profiles
- Compare providers directly on cost and quality metrics
- Discover and recruit the providers that strengthen your network
episode analytics
Improve clinical performance
Cost and quality issues rarely show up in a single claim or visit — they emerge across the full arc of a patient’s care. This capability applies 300+ defined healthcare episodes to give teams a clear view of cost, quality, and variation across entire patient journeys, not just isolated encounters. That episode-level view makes it possible to pinpoint exactly where performance is breaking down and where clinical improvement efforts will have the most impact.
- Analyze cost, quality, and variation across 300+ defined episodes
- Track performance across the full patient journey, not single visits
- Pinpoint where variation is signaling a clinical improvement opportunity
referral analytics
Referral and leakage insights
Referral leakage quietly erodes network performance, and it’s difficult to address a pattern you can’t see clearly. This capability visualizes referral flows across the network and identifies leakage patterns as they emerge, turning a hard-to-track problem into something concrete teams can act on. With that visibility, teams can strengthen the high-value referral pathways that matter most and redirect the ones that are leaking volume out of network.
- Visualize referral flows across the network
- Identify leakage patterns before they affect volume
- Strengthen high-value referral pathways with clear visibility
