A Philosophical Shift
We understand the key differences between access-focused and outcomes-focused network models. Expansive provider selection criteria including medical, pharmacy, and indemnity financials, as well as return-to-work and clinical outcomes.
- Shift from individual transactions to entire claim outcomes
- Collaborative program design, data submission, and shared expectations that differ from traditional access-focused models
- Active channeling to OBN providers vs. pre-program channeling rates
- Providers who have meet the criteria to be included in Coventry's OBN program are identified for those clients who choose to implement this program.