Raising Health Build Your Own Provider Network with Dan Rosenthal
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Nov 5, 2024 Dan Rosenthal, a healthcare expert and former CEO at UnitedHealth Group, shares his wealth of knowledge on building and managing provider networks. He delves into the complexities of payor-provider contracts and the future impacts of transparency laws. Dan also highlights the rise of digital health startups and the innovative potential of AI-driven personalized networks. This dynamic conversation uncovers how traditional healthcare models can be challenged, offering a roadmap for startups seeking to modernize the healthcare landscape.
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Provider Network Basics
- Provider networks organize healthcare providers and access points.
- They aim to connect patients with the right care efficiently.
Building a Provider Network
- Consider your target members' needs, preferred services, and locations when building a network.
- Ensure quality, cost-competitiveness, and a positive patient experience.
Scale of Provider Networks
- Dan Rosenthal's health system in South Florida had 40-50 contracts, each with multiple product categories.
- At UnitedHealth Group, they managed over 75 networks, each with thousands of contracts.