Identifying and acting on million-dollar opportunities to deliver high-quality care

Thursday, March 13  |  3:10-3:55 PM CT  |  Room 214B  |  Quality and Member Experience Track

Delivering high-value, high-quality care starts by building and managing a network of high-performing participants. For payers, the key to success lies in blending first- and third-party data to identify opportunities within your network — such as improving provider performance, optimizing referral patterns, or engaging members more effectively. For example, in a scenario analysis, one organization identified an opportunity to decrease average episode spend by 27%, equaling roughly $100 million in savings annually by optimizing referral patterns and network. In this session moderated by Luke Hansen, MD, MHS, Chief Medical Officer, Arcadia, explore practical strategies for leveraging data to identify and act on these million-dollar opportunities while enhancing care quality and member satisfaction.

Learning Objectives:

• Discover how comprehensive data drives robust quality improvement and outcomes strategies
• Learn practical analytics techniques to guide members to high-value care and optimize network performance
• Understand the impact of provider performance on member experience and overall quality scores