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Improving Referral Performance At The Point Of Care

posted by VIM

on October 15, 2021

Premera Blue Cross of Alaska

Premera is a leading health plan with over 2 million members across Washington and Alaska. Often looked to as a national innovation leader, Premera is on the forefront of efforts to improve the quality and affordability of US health care.

Challenge

It’s a well known issue that wide variation exists in the cost and quality of specialty care. Traditional approaches to this problem have involved narrowing specialist networks to high quality, low cost physicians. However, this approach can have significant downsides for member access and experience as well as presenting risks for provider relations