How Geisinger Health Plan Enhanced Provider Trust and Engagement to Achieve Value-Based Care Excellence

As the healthcare industry shifts towards value-based care, health plans face the critical challenge of effectively sharing data with providers.

In this blog, we'll examine how Geisinger Health Plan, a regional health plan in Pennsylvania, overcame these hurdles, enhancing provider trust and driving better patient outcomes with Inovalon's advanced data-sharing software.

Why data is at the heart of value-based care

Value-based care is a model that correlates the amount healthcare providers earn from their services to patient results. This model puts less of an emphasis on the volume of face-to-face visits with a physician. Instead, the focus is on creating accountability and incentives for providers to elevate their care outcomes while compensating them accordingly.

Health plans and healthcare providers must align their member care efforts to achieve star rating goals set by the Centers for Medicare & Medicaid Services. To stay aligned on what's needed to achieve this, massive amounts of data collection and analysis are required.

An in-house provider engagement software solution wasn't enough

For a value-based care model to work, health plans and providers must be able to trust that the data they're using is timely and relevant. This is why many health plans create their own portals to share member data with providers and track quality performance.

For Geisinger Health Plan, a regional health plan serving more than 560,000 members across Pennsylvania and the surrounding area, its home-grown portal was meant to help the plan and its providers better meet member needs.

The in-house provider engagement software turned out to be a massive administrative burden. It lacked speed and effectiveness, often timing out when trying to visualize so much data. This lack of reliability created insufficient transparency with providers and limited access to information.

When Geisinger needed a new payer-provider data sharing solution

After three years of frustration, Geisinger decided it was time to try something new. This time, Geisinger contacted Inovalon to replace their in-house portal with Converged Provider Enablement, Inovalon's cloud-based provider engagement software.

Converged Provider Enablement helps reduce the complexity of managing value-based contracts and other performance programs with a software solution that delivers direct, up-to-date performance data and actionable insights.

With a single solution, Geisinger and its providers could now quickly access and share performance metrics via a user-friendly dashboard with simple data integration, accurate analytics, and single sign-on capabilities.

How Converged Provider Enablement created greater trust and transparency

Converged Provider Enablement was up and running for Geisinger within six months. The software enabled Geisinger to improve its provider relationships significantly by having its health plan and provider users see the same data in the same solution delivered in easy-to-understand dashboards. This consolidated view reduced the abrasion that typically comes from the payer-provider data-sharing alignment.

Geisinger regained their provider's trust that they would get the information needed to act on member care and improve quality rating performance.

"Our providers are now more engaged and more involved," said Anthony Graboski, Provider Engagement Liaison, Geisinger Health Plan. "Trust, transparency, and support are key - and Inovalon helps us have all three."

With Inovalon's support, Geisinger was able to better highlight program incentives and motivate providers while reducing their administrative burden. This allowed them to focus more on what matters most - delivering high-quality patient care.

Check out the entire customer success story to learn more from Geisinger about how it improved provider trust and engagement with its providers.

Ready to see if Converged Provider Enablement is right for you? Request a demo.

Inovalon and design®, Inovalon®, and the Inovalon ONE® Platform are trademarks of Inovalon, Inc.

Public link

Please use the above public link if you want to share this noodl on another website.