EP 516 ENCORE: Rethinking Provider Networks - with Scott Smith

About this episode

Scott Smith discusses the importance of total value over sticker price in provider networks.

We revisit how PPOs got built on discounts and show why total value beats sticker price. Scott Smith joins us to explain nationally curated high-performance networks that rank providers on effectiveness, appropriateness, and cost, and how that changes renewals, member experience, and fiduciary risk. • why traditional PPO discounts miss total cost of care • how consolidation and narrow networks increase abrasion • claims-based scoring at the provider NPI level • quality metrics that matter: e...

People in this episode

Host: David Saltzman

Guest: Scott Smith

Topics covered

• provider networks
• PPO discounts
• total cost of care
• member experience
• fiduciary risk

Keywords

• PPO
• provider networks
• cost of care
• member experience
• fiduciary risk
• quality metrics
• claims-based scoring

Mentioned in this episode

Organizations: PPOs, high-performance networks

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