Did you know 28.5 million Americans didn’t have health insurance in 2020? This shows we really need easy and cheap healthcare options. Oscar Health Insurance is working hard to fix this by making a new kind of health insurance. It focuses on quality, saving money, and putting the customer first.
Oscar knows the healthcare system is complex. So, it made a special way to pick doctors and hospitals. They look for the best doctors in many areas. This helps Oscar members get the right care at the right time. It means getting better healthcare without spending too much.
Oscar really cares about its customers. They make sure the doctors and hospitals they work with are the best. This helps make sure you get the care you need easily. Oscar is changing healthcare for the better. It lets people take charge of their health and get the care they should have.
Oscar’s Network Philosophy
Oscar Health is all about giving people a way to easily get the care they need. They know it’s hard for many to find good healthcare. So, they made a special network that helps people find the best care.
Guided by a Consumer-Centric Approach
Oscar doesn’t just offer any network. They use data to make a network that has everything you need. They want to save you money and give you the best care possible. This way, you can make smart choices about your health.
Curating a High-Quality Provider Network
Oscar picks only the best doctors and places for care. They look for those who give great care and make patients happy. This helps Oscar guide you to the best care, making you healthier.
“At Oscar, we’re not just a payment pass-through. We’re committed to creating networks that empower our members to thrive in the healthcare system.”
Building a Quality Network
Oscar worked hard to make its networks better. They looked at 500 types of care and found the best providers. The provider selection criteria focused on four main things: being complete, quality, cost, and working well together.
Rigorous Provider Selection Criteria
Oscar’s team was very careful when picking providers. They looked at many important things:
- They wanted providers to offer many services.
- They checked if providers gave good care.
- They looked for prices that were fair.
- They wanted providers to work well with Oscar’s online tools and care plans.
Operational Excellence in Contracting
After finding the right providers, Oscar worked hard on making contracts work well. This meant:
- Talking to provider offices a lot.
- Getting good prices and sharing risks.
- Making sure data was correct for a good customer experience.
Oscar worked hard to pick the best providers and make contracts work well. This lets its members get great care at good prices. It shows Oscar cares about its customers and wants to give them the best healthcare.
https://youtube.com/watch?v=ihqia3gfzzY
“We’re dedicated to building networks that put the consumer first, delivering comprehensive coverage and exceptional care at an affordable cost.”
Ongoing Network Evaluation and Optimization
Oscar works hard to build a strong provider network. It’s not just a one-time job. The company’s Research team always checks and makes the network better. They make sure members get great care.
They use data from many places and look at new trends. This helps them make smart algorithms. These algorithms check how easy it is to get care in different areas and look at care quality.
Measuring Geographic Access to Care
Oscar makes sure members can get to healthcare providers easily. The Research team looks at things like how many providers there are for each patient. They also check how long it takes to get there and if there are good ways to travel.
This helps Oscar know where to add more providers. It makes sure everyone can get the care they need.
Defining and Tracking Quality Indicators
Oscar is now focusing on what makes care quality good. They work with providers and listen to what members say. They find important metrics like how happy patients are and how well care is working.
This info helps Oscar make the network better. It makes sure members get the best healthcare.
| Quality Indicator | Description | Target Performance |
|---|---|---|
| Patient Satisfaction | Measures member satisfaction with provider interactions, wait times, and overall care experience | 90% member satisfaction |
| Clinical Outcomes | Evaluates the effectiveness of treatments and interventions based on measurable health improvements | 85% of members achieving target clinical outcomes |
| Care Coordination | Assesses the seamless integration of care across different providers and settings | 95% of members reporting positive care coordination experiences |
Oscar keeps checking and making the network better. They make sure members get the geographic access and quality indicators they need. This way, members get the network evaluation and care they deserve.
Scaling Curated Network Construction
Oscar Health Insurance is growing and needs to make its network bigger. They will use more people and automation to help. Some parts will still need a person, but they’re making algorithms and technology-enabled solutions. This will let more people do the work.
They’re using smart data tools to help grow the network. These tools check if providers are good, talk to them about contracts, and watch how well the network works. This helps Oscar add new doctors and keep a great network as they grow.
Oscar is also teaching its workers to do more. This way, more people can help grow the network faster. They mix people’s skills with automation. This makes growing the network work better and last longer.
| Key Strategies for Scaling Network Construction | Benefits |
|---|---|
| Leveraging data analysis tools Developing algorithms and technology-enabled solutions Upskilling the workforce | Efficient onboarding of new providers Maintaining high-quality, technology-enabled networks Accelerating the pace of network expansion Combining human expertise with automation |
Oscar is using new ways to grow its network. They’re ready to give more people great healthcare.
Aligning Networks with Care Pathways
Oscar Health Insurance is changing how they build networks. They’re not just looking for many providers. They focus on care pathways to make sure members get the right care they need.
Focusing on Optimized Care Journeys
Oscar is all about optimized care journeys. They want to make a consumer-centric network that helps people get better care. They guide members through the best care paths for their needs.
This is different from the old way of just having many providers. Oscar’s new way makes getting healthcare easier and better for everyone. It helps people find the right care when they need it.
Source Links
- https://www.hioscar.com/blog/zenefits-dental-medical-vision-choosing-the-best-medical-benefits-combination – Dental, Medical, Vision: Choosing the Best Medical Benefits Combination
- https://www.hioscar.com/blog/a-new-kind-of-health-insurance-network – A new kind of health insurance network | Oscar Rx
- https://www.modernfootankle.com/insurances/oscar-podiatrist – Podiatrist Oscar | Modern Foot & Ankle
