Network & Clinical Engagement
Your provider network is the primary delivery mechanism for Star performance, Risk Adjustment accuracy and completeness, and clinical outcomes. HLTHWORKS redesigns provider engagement from the ground up — building performance scorecards, clinical pathway alignment, and value-based care accountability structures.
What we deliver
- Provider performance scorecard design — aligned to Star, Risk Adjustment, and cost-of-care outcomes
- Clinical pathway alignment — connecting provider practice patterns to HEDIS measure performance
- Value-based care contract design and performance management
- Network adequacy and access redesign for complex population needs
- Provider education and engagement programs — closing care gaps at the point of care
