Cash-driven healthcare

How Medical Neighborhoods Optimize Integrated Delivery Networks

How Medical Neighborhoods Optimize Integrated Delivery Networks 2560 1707 Vibrant

Healthcare systems are in a more competitive environment than ever before and need to demonstrate innovation, evolution and the ability to serve their patients the best way possible.

As the healthcare industry continues to grapple with reform, many healthcare systems are turning to Integrated Delivery Networks (IDN) as a way to improve care while also controlling costs. IDNs involve hospitals and other providers working together in organized networks to deliver care and often share savings with an employer by taking some responsibility for the financial performance of their population. While this model can be successful, recent studies have shown that optimizing the IDN’s composition can lead to even better results for providers, patients and employers.

One way to strengthen an IDN is by employing a Medical Neighborhood partner. A Medical Neighborhood can be a cluster of providers within an IDN. Each provider in the Neighborhood excels at clinical outcomes for specific medical events—reducing poor outcomes and wasted healthcare. They can be supported by an expert care director who (1) helps the patient choose among exceptional providers for their specific need, (2) facilitates communication and coordination of patient care between providers, and (3) arranges for advance, full payment. The Medical Neighborhood can bundle or package hospitals, specialists, diagnostics and other services so that patients can easily choose outstanding provider teams and pay them for the care they need.

Medical Neighborhoods can achieve impressive savings which healthcare systems can use to reduce the patients out-of-pocket responsibility to a more affordable amount that can be paid in full in advance of their medical event. Employers can also pay in advance and earn a “cash” reduction.

The US healthcare system has large variation in quality of care and substantial wasted care, which affords a great opportunity to extract savings. With an IDN, healthcare systems often share in the savings they create by improving care and controlling costs. IDNs can get an impressive bump to their shared savings with a Medical Neighborhood.

Innovate or Die

As hospitals look to innovations such as IDNs, it’s beneficial to understand how they can optimize by partnering with a Medical Neighborhood.  

As many hospital systems have deployed IDN’s, they need to do more to differentiate their premiums and benefits from traditional networks.  They must achieve a more meaningful increase to the quality of care and a larger reduction in the cost of care.  This is where adding a Medical Neighborhood with Vibrant, can be a game-changer. 

Welcome to the Neighborhood

A Medical Neighborhood should be able to deliver three key elements: 

  1. Concierge-level professional CareDirectors are at the center of patient experience.  They educate, guide and support the patients when they need specific specialty care.  
  2. A carefully chosen team of outstanding providers who can field any referral from a CareDirector and maximize patient outcomes.  Savings for patients, employers, and healthcare systems will go up as the quality of the care improves.
  3. A direct payment platform with a cash-driven approach.  With this capability, the patient’s unaffordable out-of-pocket cost can be reduced by 50%, and healthcare systems can eliminate their costly payment processes and leverage a cash Medical Neighborhood to get more patients, more shared savings, and full fast payment with less overhead.

ready to add a

medical neighborhood?

Healthcare systems are in a more competitive environment than ever before. They need to demonstrate innovation, evolution, and the ability to serve their patients the smartest way possible. That’s why many hospitals have been partnering with Vibrant Medical Neighborhoods as a strategy to optimize their integrated delivery networks.  At the end of the day, it brings new quality-educated patients, enables healthcare systems to reduce their patient’s out-of-pocket cost burden by 50%, and pays them in full in advance.  

Interested?  Let us know how we can help you make this happen! 

Yield better healthcare savings when healthcare is fundamentally better

Yield better healthcare savings when healthcare is fundamentally better 2160 1440 Vibrant

In the world of self-funded healthcare, it can feel like we’re all set up for failure when trying to get members (employees and their families) the right type of healthcare without taking away all the profit margins of the business.

However, what we have found in our process of building out medical neighborhoods is that when better healthcare is delivered (top quality providers), the cost savings can be huge through more accurate diagnosis, significantly fewer errors and better care is given.

Cut out the crap, cut the costs

“What do you call the person who finished last in medical class?  A Doctor”- Anonymous

Let’s face it – not all providers are created equal.  

With access to more intelligence on the performance and experience of providers than ever before, we can now build an exclusive and curated list of providers who are in the top percentiles of their practice.  While most average members don’t have access to this information, it is available to organizations such as Vibrant Medical who analyze detailed quality standards.  

We’re building out a carefully vetted list of providers that meet our meticulous standards, which avoid errors that notoriously drive up costs and create negative member experiences. 

Support, care and guidance is key.

In the good ole days of healthcare, we build a great level of trust and collaboration with our primary care provider. They were the person to lean on for insights, knowledge, referrals, etc.

We’re not in those days any longer. Primary care physicians are mostly tied to large hospital systems, where they’re incentivised to refer specialists within their own hospital system and either due to time constraints or legal liabilities, they no longer have the time to give the care that is needed and deserved, so we’re left to do a lot of the work on our own, and incredibly frustrated.

In the newer models of cash-driven medical neighborhoods, it’s different. Through the support, care and guidance, Care Directors are the first line of support and driven to help members get access to the top providers with the top level of care.

Cash is king

The little known secret in healthcare is that when a member pays cash, they can save big.  In the new model of healthcare, known as a cash-driven healthcare economy, companies leverage cash-payments up front to drive down unnecessary costs, with a focus on working only with top providers.

exceptional quality

cash-enabled neighborhood

The top three reasons to consider a “Medical Neighborhood” for better outcomes and increased savings

The top three reasons to consider a “Medical Neighborhood” for better outcomes and increased savings 2560 1743 Vibrant

The concept of a Medical neighborhood is not new. It’s been around and had different models over the years, but has lacked key elements to make it a successful experience for members and a cost-effective tool in the tool belt for employers to keep medical costs down.

Quality first, quality only

Many of us have become accustomed to dealing with healthcare in the traditional way and the process can be opaque and convoluted, making it a bit scary and confusing. The medical neighborhood is a smarter, more confident member experience.

Our approach at Vibrant is to have experts who advocate for members to reduce fear and confusion by helping them navigate their healthcare.

Outstanding member care and guidance

Many of us have become accustomed to dealing with healthcare in the traditional way and the process can be opaque and convoluted, making it a bit scary and confusing.  The medical neighborhood is a smarter, more confident member experience.

Our approach at Vibrant is to have experts who advocate for members to reduce fear and confusion by helping them navigate their healthcare. 

A system that supports a more direct “cash driven” model to drive savings

There are numerous approaches for medium and large employers to try to drive a better experience and more savings, but they often fall short in the execution of lower payment and utilization.

The key to a successful deployment of a truly effective cost-savings solution is to connect a purpose-built cash payment system that will make payment logistics simple and direct. Without a cash payment system that’s made for this approach, the execution falls short.

If you’re a self-funded employer, a benefits consultant, or a provider looking for smarter ways to grow your practice, then it’s time to take a look at the new model of medical neighborhoods.

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