Why Transcarent Launched a National Independent Provider Ecosystem

Wow, it seems like a lot longer, but it was Tuesday, only three days ago, when we launched the National Independent Provider Ecosystem.? Lots of excitement and a lot of questions that I’ve been answering all week. ?Most exciting was that people knew something had changed!?

Why did you do this?

One of the most common questions was: why did you do this?? You already have the largest number of high quality Centers of Excellence and ambulatory surgery centers --- over 300 COEs covering over 830 access points. The answer is that our announcement and the contractual agreements we have with ten of the largest, highest quality providers / health systems ?in the country (along with a pre-existing agreement with our long-time partner Rush System for Health give us a unique opportunity to deliver a new and better health and care experience for our Members (people who work for our clients and their families), truly improve care and clinical outcomes, and do all of that with consistent, transparent, and very competitive pricing. Competitors may say they have something similar . . . they can’t, they don’t, they won’t. One-time agreements are not relationships and don’t result in win-wins.? And simply focusing on the lowest cost for a procedure is not a good way to lower overall healthcare costs. Judging by the response to our announcement, our ecosystem will only continue to grow. We already have a number of high-quality organizations waiting to be added.

What is unique is that we’ve worked hard to structure agreements that deliver meaningful benefits for self-insured employers and their employees, ?but also for health systems/providers. This didn’t happen overnight. We began with a unique relationship with Rush System for Health, where we explored what real relationships with high quality providers could look like. And we learned a lot.? And then our team spent the better part of the last year working with leading health systems around the country on how to create the next generation of Centers of Excellence.

Quality

We started with quality. People ask me all the time if we have the lowest prices?? I tell them we have the highest value. We start with quality and work with the top quartile of doctors and of facilities.? Not everyone.? And we surround that statement with a quality process unlike any other. We partnered with Aneesh Chopra at CareJourney by Arcadia . He and his team built something special including the most comprehensive and transparent physician quality, efficiency, and appropriateness measurements we have seen in the market. It covers detailed physician classifications, episode cost benchmarks, and quality measures, in addition to scoring for physicians, practices, and facilities in commercial markets across the country.? And then I ask our Chief Medical Officer, @Dr. Randy Hawkins, to put a process in place based on his years of experience in many roles in healthcare.? We wanted a quality process we trusted for our own families.?

Information and Access

If you want to make it easy for people to access high quality health and care, you have to make it easy for them to access the information they need (Provider Search on our platform), then access the care (Care in 60 seconds, with a single touch, available today on our platform or, if you prefer in person, locally at one of our partners), and they have to be able to afford it.? Well, a lot of our employers are making care free, waiving co-pays and co-insurance (the largest cause of bankruptcy in our country)?if people use the Transcarent Experience. Now that’s something different.?

Creating Win-Wins . . . We’re betting on health systems!

People also ask me, why are you betting on Health Systems and on Providers?? When someone asked Willy Sutton, the famous bank robber, why he robs banks, he said, “because that’s where the money is.”? Why am I betting on health systems and providers? It turns out, they do the work we need to keep us all healthy and we need to keep them healthy. That means paying them, when they deliver the care, just like you pay a restaurant when you have a high quality, nourishing meal delivered with great service. You even provide a tip. You don’t wait 30, 60 or 90 days or longer to pay them and you don’t start negotiating what the meal should cost after you’ve consumed it. And you trust them to deliver quality.? You also measure that restaurant and may use outside metrics, like Yelp, to see what other people say. ?So do we.?

So, tell me again, why are we different? ?We’re paying systems the day they deliver care, sharing our value based rewards with them, and they are providing preferred access to our Members and working with us to design new value-based pathways for better care.

There’s a lot more to what we’re about. It’s new, it’s different, and it’s better.? One Place for Care: Care in 60 Seconds, Pharmacy Marketplace, Care @ Home (or close to it), SurgeryCare, and ComplexCare (beginning with our oncology experience).

And this will surprise you as well. We’re partnering with employers, their employees, health systems, and yes, payers too. Anyone who wants to make it easier for our Members --- people like you and your family --- to access high quality, affordable care.?

The announcement was an important day for our Health System/Providers, our Clients, our Members, and for Transcarent . . . the One Place to go for Health and Care.?The future will be even brighter!?

Read about it: ?https://transcarent.com/test/transcarent-launches-national-independent-provider-ecosystem