08/19/2021
Two of Paradigm’s key thought leaders in specialty networks—Stan Smith, Vice President of Post-Acute Care and Jennifer Brockman, Vice President of Orthopedic and Spine—were recently featured in an article for industry publication WorkCompWire. In “Defining True Quality for Workers’ Compensation Specialty Networks,” these leaders explored the many facets of building and managing a high-performing specialty network in today’s workers’ compensation industry.
From post-acute care to pain management, to orthopedic and spine care, a properly managed network with a value-based care model can have a positive impact on the complexity, length, and cost of a workers’ compensation claim.
Identifying and selecting quality providers
Stan and Jennifer emphasize the importance of quality over quantity when it comes to network provider selection. Building a high-value network for any specialty requires an in-depth and deliberate methodology for identifying, reviewing, and eventually selecting providers.
To be included in Paradigm’s network, they explain how providers in each specialty area undergo a rigorous review, based on industry-specific, proprietary data as well as verification of any relevant credentials, certifications, and licensing.
The importance of deep collaboration and value-based, full-service risk management
Further, they discuss how provider selection is the foundation of a high-performing network that delivers positive outcomes, and that the way the network is managed is crucial. Instead of simply offering “pay-for-access” to a roster of providers, Paradigm Specialty Networks directly contracts with providers to ensure quality of care. By acting as a guarantor of payment that assumes the full risk, Paradigm is better equipped to ensure provider accountability.
Overall, this approach is representative of the Paradigm DNA, and underscores Paradigm’s commitment to provide life-changing outcomes and value-based care in the workers’ compensation space.
Read the full article at WorkCompWire: Defining True Quality for Workers’ Compensation Specialty Networks here.