Self-Funded With Spencer How High-Performance Health Networks Actually Work | with Blake Allison & Riley Dearing
Jul 22, 2025
Blake Allison, CEO of Employers Health Network, and Riley Dearing from Hotchkiss Insurance explore the transformative world of high-performance health networks. They demystify how direct partnerships can lower costs and improve care, revealing real-world success stories like a healthcare savings of $3 million. The conversation covers innovative strategies for risk management, enhancing patient access, and fostering collaboration in West Texas. They also touch on the significance of data-driven approaches and building effective partnerships in the evolving healthcare landscape.
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Ensure Comprehensive Network Adequacy
- Build a fully adequate network providing access to every specialty within reasonable distance.
- Prioritize tight network adequacy for primary care within five miles to encourage utilization.
Active Network Management Is Critical
- Managing and updating network contracts and repricing claims is essential ongoing work.
- Filling gaps in the provider network ensures patients have seamless access to care.
Design Benefits to Guide Utilization
- Use benefit design incentives to guide members toward the right providers without restrictive gatekeeping.
- Allow members to make choices but reward those who use recommended high-value providers.
