Page 20 - IVX Health
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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
DOMESTIC CENTERS OF REFERENCE-
NETWORKS ACOS AND PCMH PERFORMANCE PROVIDING TELEHEALTH EXCELLENCE BASED PRICING
NETWORKS CONTRACTING
• Healthcare providers Providers developing • Carriers creating • Employers contracting Almost universal • 16% of employers • Reference-based
steer domestically accountable care “narrow network” directly with hospitals adoption of telehealth incent the use of pricing (“no
to their own facilities organizations (ACOs) products and options and other healthcare services. centers of excellence network plans”) —
and/or preferred and patient-centered — often featuring the providers to lower • 90% of large through value-based reimbursement levels
partners medical home (PCMH new provider ACOs/ costs and improve employer groups offer beneit design set at percent of
models in most major PCMHs quality through Medicare
• In some instance, markets. custom created telehealth in states
the healthcare client • 26% of large employer networks. where allowed by law • Many employers
may have a custom • 3% of large employer groups are offering • Signiicant upside 3 restricting out-of-
reimbursement groups are directly plans or plan options • Direct collaboration employee utilization network beneits to
schedule the carrier contracting with ACOs for a high-performance between employers currently at 1-3% relect a percentage of
will be asked to • 21% are promoting network and healthcare Medicare rather than
implement using ACO arrangements providers can be • Expanded services traditional U&C
service inventories available through the effective strategy to such as mental health
which include CPT health plan disrupt the current and substance abuse
and Revenue Codes, insurer and healthcare may help to increase
custom fee schedules provider delivery utilization and
including capitation, system in favor of self- employer savings
and NPI and Tin funded employers
numbers to administer
the network provider
list
IVX Health — Lockton Total Rewards Practice Overview 20 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
DOMESTIC CENTERS OF REFERENCE-
NETWORKS ACOS AND PCMH PERFORMANCE PROVIDING TELEHEALTH EXCELLENCE BASED PRICING
NETWORKS CONTRACTING
• Healthcare providers Providers developing • Carriers creating • Employers contracting Almost universal • 16% of employers • Reference-based
steer domestically accountable care “narrow network” directly with hospitals adoption of telehealth incent the use of pricing (“no
to their own facilities organizations (ACOs) products and options and other healthcare services. centers of excellence network plans”) —
and/or preferred and patient-centered — often featuring the providers to lower • 90% of large through value-based reimbursement levels
partners medical home (PCMH new provider ACOs/ costs and improve employer groups offer beneit design set at percent of
models in most major PCMHs quality through Medicare
• In some instance, markets. custom created telehealth in states
the healthcare client • 26% of large employer networks. where allowed by law • Many employers
may have a custom • 3% of large employer groups are offering • Signiicant upside 3 restricting out-of-
reimbursement groups are directly plans or plan options • Direct collaboration employee utilization network beneits to
schedule the carrier contracting with ACOs for a high-performance between employers currently at 1-3% relect a percentage of
will be asked to • 21% are promoting network and healthcare Medicare rather than
implement using ACO arrangements providers can be • Expanded services traditional U&C
service inventories available through the effective strategy to such as mental health
which include CPT health plan disrupt the current and substance abuse
and Revenue Codes, insurer and healthcare may help to increase
custom fee schedules provider delivery utilization and
including capitation, system in favor of self- employer savings
and NPI and Tin funded employers
numbers to administer
the network provider
list
IVX Health — Lockton Total Rewards Practice Overview 20 Lockton Companies
