About this episode
We explore how reducing variation in cost, outcomes, and experience creates real value, and why deep provider metrics and real-time member support outperform box-checking credentialing. Kate Grohal shares a playbook for aligning incentives without repeating the mistakes that soured HMOs.• defining quality as reducing variation across cost, outcomes, experience• Kate’s path from patient escort to quality leader• why NCQA alone falls short for measuring provider performance• additional metrics: infection rates, readmissions, team engagement, co-management• building value-based networks that screen out low-performing providers• real-time care navigation via nurses, MAs, and app-based prompts• behavior change through waived cost-sharing and premium reductions• the downside of PEPM fees and paying for non-performance• differentiating value-based care from old-school HMO denial tactics• employers moving from back seat to driver’s seat• tech adoption gaps and the next five-year horizonVisit BenaPower.ai or email info@BenaPower.com to schedule a demoFor more information, visit HatcherMedia.net — that’s H A T C H E R Media.netThis episode is sponsored by Benepower, the platform of choice for a modern benefits experience. Benepower is an AI-powered benefits platform offering access to top products and services, enabling consultants and employers to create customized plans, optimize usage, and measure effectiveness. www.benepower.com
