AArete Develops Customized Cost/Quality Matrix to Help Regional Health Plan Optimize its Primary Care Network

Situation A Medicaid Managed Care Organization’s (MCO) network of Primary Care Providers (PCP) included a substantial portion of low-quality, high-cost physicians. The MCO reported that the network performance was increasing overall costs and negatively impacting member experience. The organization approached AArete to optimize the PCP network by increasing the proportion of high-quality, low-cost PCPs.  Approach…