A network strategy is the plan that outlines how a payer and a specialty network partner to improve the quality of care for the member population. The strategy typically includes the suggested size and composition of the network, proposed benefit designs, and recommended reimbursement policies. The goal of the network strategy is to define the needs of the member and align the business needs of the payer and the provider into a coordinated model to improve care coordination, reduce care disruption, and improve patient outcomes.

At Zula Health, we have decades of experience working with payers to identify the role of specialty networks within their benefits offerings. Whether it is bringing a new benefit forward or relaunching an existing program with new partners or focus, we evaluate the market, determine the opportunity for differentiation or growth, and then deliver to you a blueprint for moving forward that is based on the payers’ goals. We then combine this data with provider information, such as a scope of practice, licensure, and available population to recruit to provide a full 360* view of the value and financial and market-differentiation evaluation detailing the potential impact of a specialty network.

The Zula Health process delivers a custom strategic plan for payers that takes into account:

• The goals of the payer
• The services that will be offered
• The way that the network will be managed
• A detailed plan for the recruitment, contracting, and credentialing of providers to participate on the network
• A process to evaluate the impact of the network through the analysis of data on the quality, efficiency, and affordability of care, which will be used to make improvements to the network.