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Expert Insight

2 strategies to reimagine physician panels and improve care delivery

Learn how to enhance patient care and optimize revenue by tailoring provider capacity with risk-adjusted models and minimizing referral leakage.

Introduction

"How many physicians do I need?" ranks among the most frequent questions we receive from members through AskAdvisory. Our Clinician Supply Profiler offers a strong starting point. However, ensuring adequate primary and specialty care coverage requires going beyond population-based needs assessments. Clinical leaders and planners must understand a range of nuances across the workforce, population, competitors, and patient utilization patterns. We recommend two analyses for physician network planning: risk-adjusted panel size and downstream utilization for primary care, and market-contextualized leakage for specialty care.


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INTENDED AUDIENCE

AFTER YOU READ THIS
  • You'll understand how to right-size physician panels for better care.
  • You'll learn how to reduce referral leakage and retain revenue.
  • You'll grasp the importance of risk-adjusted panel sizes.

AUTHORS

Aaron Jurgaitis

Vice president, Provider actuarial services, Optum Advisory

Coltin Ball, MPH

Research analyst

TOPICS

INDUSTRY SECTORS

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