Case Study

Optimizing NeuGen’s Provider Network

Zelis and HealthCorum collaborate to deliver provider network optimization technology for health plans in Wisconsin
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NeuGen, a shared services organization with health plans and multiple lines of business, wanted to shift utilization from low-value to high-value providers to save money and increase member satisfaction.

How can we achieve this shift?

  • Low-value providers improve by changing
    inefficient practice patterns
  • Referrals from PCP’s are directed to high-value specialists
  • Narrow network design to increase utilization
    of high-value providers
  • Analysis of client’s internal 2020 claims data with a focus on 5,000 providers across several specialties

Learn more about the impact Zelis' network solutions made on NeuGen!

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Networks in Action

“Zelis has a wonderful staff with whom we have enjoyed working with over the last seven years... They are responsive to our unique needs as a customer, and bring innovation and creativity”

– Joel, Executive Director of National Health Plan