When implementing an outcomes-based network program, an employer’s strategic focus shifts from unit-cost reductions to life-of-claim disposition including clinical, utilization, and return-to-work outcomes.
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.
Coventry is uniquely positioned to deliver exceptional network access solutions. Whether you’re looking for the industry’s largest directly contracted network, an outcomes-based solution, a state-certified solution, or even an auto network – we've got you covered.