What is Integrated Provider Management (IPM)?
IPM is a three-pronged approach to deliver the next generation of care and cost improvements through: • End-to-end provider process simplification • Collaborative and coordinated patient care • Transparent provider performance and incentive management Fundamental to this approach is the ability to bring together the provider network view, patient clinical view, and claims view. By harnessing this integrated view, health plans will take the initial critical steps that allow them to facilitate holistic member care planning, innovative network design, and cost reduction. This approach represents an opportunity for a new collaborative relationship paradigm between health plans, providers, and members. How does IPM reduce medical costs? A logical first step in managing medical costs is to ensure that providers are reimbursed at the right level. Current barriers include the quality of provider data within the health plan system and the complexity of provider contracts. It’s estimated that 2-
