The Three R's of Optimizing Your Network

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Recorded On: 09/30/2020

We all have the goal of delivering the most optimal network to our members to meet their needs and our business needs. But with so much disparate provider data from multiple sources needed to paint a clear picture, pulling it all together to make data-driven decisions to optimize your network can be a challenge.

Join Zelis to discuss the three R's of optimizing your network:

  1. Remove providers who are low quality, high cost or simply do not exist by integrating complex provider elements into your analysis
  2. Replace these providers by identifying network access gaps and bench marking the maximum accessibility possible in a market using state and federal standards.
  3. Recruit high quality, low cost providers to maintain your competitive advantage and understand your competitive position in the marketplace

There are many factors to optimizing your network. The three R's of network optimization will help you prioritize each step of the process.

Laura Kravet McMullen

Director, Client Engagement

Zelis

Laura McMullen has significant experience in diverse aspects of the healthcare industry. She has provided marketing and communications expertise at Cigna Dental, National Healing Corporation, and the University of Miami Sylvester Comprehensive Cancer Center. As Director of Client Engagement for Zelis Network Analytics, she draws on her industry knowledge to help customers leverage network analytics to drive business results. Educated at Nova Southeastern University and the University of Florida, Laura currently serves on the Education Commission for the National Association of Dental Plans, keeping her ear to the industry’s trends and needs.

Jillian Carlile, MBA

Product Analyst

Zelis

Jillian is an accomplished product and insights lead with 8 years of healthcare industry experience specializing in payer-focused technology solutions. She is an influential thought-leader with demonstrated success combining industry expertise, customer insights, competitive analysis and company strengths to develop engaging content that builds awareness and trust. Jillian has a proven track record of bringing cross-functional teams together around a shared vision to build, launch, and commercialize innovative solutions that result in profitable new product offerings. She is an MBA graduate with a performing arts background who is confident presenting to internal and external audiences large and small to gain stakeholder buy-in.

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The Three R's of Optimizing Your Network