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Network (NetFit) Analysis
Lockton’s network discount database provides the most current information available to help clients compare networks from a pricing standpoint. Lockton’s
analysis also factors in cost of care elements like members’ health, medical management, and the impact of ACOs or narrow networks.
Lockton’s NetFit analysis allows clients to determine whether they should make a change not only based on favorable discount savings but also based on
speciic cost of care elements.
HIGH- DIRECT CENTERS OF REFERENCE-
ACOs AND PCMH PERFORMANCE PROVIDING TELEHEALTH EXCELLENCE BASED PRICING
NETWORKS CONTRACTING
Providers developing • Carriers creating • Employers contracting Almost universal adoption • 16% of employers • Reference-based
accountable care “narrow network” directly with hospitals of telehealth services. incent the use of pricing (“no
organizations (ACOs) and products and options and other healthcare • 90% of large centers of excellence network plans”) —
patient-centered medical — often featuring the providers to lower employer groups offer through value-based reimbursement levels
home (PCMH models in new provider ACOs/ costs and improve telehealth in states beneit design set at percent of
most major markets. PCMHs quality through where allowed by law Medicare
• 3% of large employer • 26% of large employer custom-created • Signiicant upside 3 • Many employers
groups are directly groups are offering networks. employee utilization restricting out-of-
contracting with ACOs plans or plan options • Direct collaboration currently at 1%-3% network beneits to
• 21% are promoting for a high-performance between employers • Expanded services relect a percentage of
ACO arrangements network and healthcare such as mental health Medicare rather than
available through the providers can be and substance abuse traditional U&C
health plan effective strategy to
disrupt the current may help to increase
insurer and healthcare utilization and
provider delivery employer savings
system in favor of self-
funded employers
Walden Security — Lockton Employee Beneits Practice Overview 28 Lockton Companies
Lockton’s network discount database provides the most current information available to help clients compare networks from a pricing standpoint. Lockton’s
analysis also factors in cost of care elements like members’ health, medical management, and the impact of ACOs or narrow networks.
Lockton’s NetFit analysis allows clients to determine whether they should make a change not only based on favorable discount savings but also based on
speciic cost of care elements.
HIGH- DIRECT CENTERS OF REFERENCE-
ACOs AND PCMH PERFORMANCE PROVIDING TELEHEALTH EXCELLENCE BASED PRICING
NETWORKS CONTRACTING
Providers developing • Carriers creating • Employers contracting Almost universal adoption • 16% of employers • Reference-based
accountable care “narrow network” directly with hospitals of telehealth services. incent the use of pricing (“no
organizations (ACOs) and products and options and other healthcare • 90% of large centers of excellence network plans”) —
patient-centered medical — often featuring the providers to lower employer groups offer through value-based reimbursement levels
home (PCMH models in new provider ACOs/ costs and improve telehealth in states beneit design set at percent of
most major markets. PCMHs quality through where allowed by law Medicare
• 3% of large employer • 26% of large employer custom-created • Signiicant upside 3 • Many employers
groups are directly groups are offering networks. employee utilization restricting out-of-
contracting with ACOs plans or plan options • Direct collaboration currently at 1%-3% network beneits to
• 21% are promoting for a high-performance between employers • Expanded services relect a percentage of
ACO arrangements network and healthcare such as mental health Medicare rather than
available through the providers can be and substance abuse traditional U&C
health plan effective strategy to
disrupt the current may help to increase
insurer and healthcare utilization and
provider delivery employer savings
system in favor of self-
funded employers
Walden Security — Lockton Employee Beneits Practice Overview 28 Lockton Companies
