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Getting to know Provider Select Suite: An FAQ

SKYGEN Staff
SKYGEN
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We know navigating the world of provider networks can feel overwhelming, especially when it comes to balancing cost, quality, and member satisfaction. That’s where SKYGEN’s Provider Select Suite comes in. We’ve designed this solution to help payers create strong partnerships with the best providers while keeping an eye on cost and efficiency.

To make things easier, we’ve put together this FAQ to explain how the Provider Select Suite can help you get the most out of your provider network. Let’s dive in!


1. What is the Provider Select Suite?

The Provider Select Suite is a flexible tool that helps payers identify, reward, and promote high-performing providers in your network. With this suite, you can improve the quality of care your members receive, reduce costs, and guide members to the best providers for their needs. By using data-driven insights, you can ensure that the right providers are rewarded for their quality care.


2. How does the Provider Select Suite benefit payers?

We know how important it is to manage costs while delivering top-notch care. Here’s how the Provider Select Suite helps:

  • Lower Costs: By highlighting providers who deliver great care at lower costs, you can keep expenses in check.
  • Happier Members: The Enhanced Find-A-Provider feature directs members to high-quality, nearby providers, making it easy for them to get the best care.
  • Encouraged Performance: Through tools like the Recognition Program, providers are motivated to improve care quality and efficiency with the potential for enhanced reimbursement.

3. What features are included in the Provider Select Suite?

The Provider Select Suite comes packed with powerful tools to help you get the most out of your provider network:

  • Ratings Tool: This tool evaluates providers on various factors like care quality, cost, and electronic adoption. You’ll be able to spot top performers and reduce care variances easily.
  • Recognition Program: Reward the best providers with preferred provider status. Those who meet your performance benchmarks can even enjoy enhanced reimbursement.
  • Enhanced Find-A-Provider: This feature allows your members to find top-rated providers nearby, ensuring they get excellent care while helping you manage costs.

4. How does the Provider Select Suite engage providers?

Providers love recognition—and with our Recognition Program, they’ll feel valued for the work they do. By offering the chance for enhanced reimbursement and preferred status, the suite motivates providers to keep improving. Plus, with the Enhanced Find-A-Provider tool, top providers are likely to see an uptick in patient visits, giving them even more incentive to perform well.


5. Can the Provider Select Suite help reduce high-cost care?

Definitely! Provider Select Suite is a game-changer when it comes to spotting outliers—those providers whose care costs are much higher than average. You can identify these outliers, support them in making improvements, or take action to ensure costs stay reasonable without sacrificing care quality.


6. How does the suite support value-based care models?

The Provider Select Suite is all about aligning incentives around quality and efficiency—two core principles of value-based care. Rather than focusing on the volume of services provided, the suite encourages providers to deliver high-quality care in a cost-effective way. This keeps everyone—payers, providers, and members—focused on achieving the best health outcomes.


7. What are the long-term benefits of using the Provider Select Suite?

In the long run, payers using the Provider Select Suite can expect to see:

  • Better network performance: High-performing providers are highlighted and rewarded, which strengthens the network overall.
  • Lower costs: By guiding members to top providers and managing outliers, costs are kept under control.
  • Happier members: With an easy-to-use Enhanced Find-A-Provider tool, members are more likely to have positive care experiences, which leads to better outcomes and higher satisfaction.

Want to Learn More?

If you’re ready to discover how SKYGEN’s Provider Select Suite can help you optimize your provider network, reach out to us for more details. We’re here to help you make the most of your provider partnerships!

 

Learn how you can transform the delivery of health benefits with SKYGEN.