In-Network Steerage Strategies for Employer-Sponsored Health Plans

In-Network Steerage Strategies for Employer-Sponsored Health Plans.
This video is the sequel to the previous video 'Get Serious About Healthcare Costs' Link HERE: • Get Serious About Heal...
Low Value Specialist care is one of the Largest drivers of Employer-Sponsored Healthcare costs. Low Value... as in Low Quality and High Cost. Therefore, steerage AWAY from Low Value Specialists and TOWARD High Value Specialists is an important solution.
Employee health plan members ARE going to be steered... Either by the Health Plan or by the local Hospital Systems. It's not a question of 'If.' It is a question of 'By Whom.'
Health Plan steerage ranges from Most (HMO with PCP Gatekeeper) to Least (PPO with low deductible and copays). In between are 1) Narrow Network, 2) On-Site/Near Site Clinic and 3) Tiered Network Strategies.
Hospital System steerage ranges from Most (Hospital Employed PCP, Hospital Owned Urgent Care, Hospital ER) to Least (Independent Physician Practices).
The current combination of the Least Health Plan Steerage (PPO) and Most Hospital Steerage (Hospital System PCP, Urgent Care, ER) results in the highest cost, lowest value healthcare for employees and their employer-sponsor health plan.
Video on Purdue University strategy to lower healthcare costs: • Employee Health Plan C...
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