Roadmap-IG-012821

The

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How to Build Efficient Networks Across Multiple Business Lines

Building efficient
networks across
multiples business
lines means
breaking down silos

efficiencies lines means

Who and what teams are managing provider data?

  1. Teams with data that operate in silos creating
    different versions of the same data sets.

Problem areas that can create challenges for an
efficient network must be assessed and
managed. Three of the biggest offenders:

  1. Multiple groups touching the data sets and
    correcting data without a process to update
    the master data.

  2. Multiple claims systems for different lines of
    business where similar datasets are replicated
    but not shared creating different versions of
    the provider data.

What systems are being used?

Look for provider data that
is being used by different
teams, and divisions within
your organization. Assess
the tools and systems to
ensure alignment in how
the data is managed.

Where are the synergies?

to building efficient networks synergies?

across multiple business lines Consider implementing a

Why are you doing this? Know you priorities:

Consider implementing a
data management team -
one department charged
with managing the provider
data across the organization.
Best practice organizations
consider having this team
engage after credentialing
and before contracting.

  1. Reduce regulatory risk
  2. Increase speed to market
  3. Breakdown silos
  4. Create process
    efficiencies
  5. Reduce overhead

When?

Consider the timing of
these initiatives relative
to your organizational
calendar:

A streamlined approach
to building efficient networks
across multiple business lines
means considering people,
systems, process, synergies,
priorities and timing
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