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Why More Provider Outreach Doesn't Always Produce More Closed Gaps #hedis #MedicareStars

Dr Peter Saah | Healthcare Quality

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Why More Provider Outreach Doesn't Always Produce More Closed Gaps #hedis #MedicareStars

37 просмотров · 4 недели назад
Dr Peter Saah | Healthcare Quality
382 подписчика
37 просмотров · 4 недели назад
The Law of Diminishing Returns in Provider Outreach | The Provider Performance Playbook Most Medicare Advantage organizations assume that if provider outreach improves quality performance, then increasing outreach should improve it even more. But is that always true? In this Season 2 premiere of The Execution Gap, I introduce The Provider Performance Playbook—a new executive series focused on how health plans can influence provider performance through management science, operations, behavioral economics, and leadership. In this episode, I explore how the economic principle of diminishing returns provides a useful framework for evaluating provider outreach strategies. Rather than asking, "Should we do more outreach?", executive leaders should be asking: Where will the next provider visit create the greatest incremental return? Are we measuring activity or meaningful impact? Is the constraint really provider engagement—or is it somewhere else in our operating model? We'll also discuss: Why provider outreach effectiveness changes throughout the measurement year The difference between activity and impact Opportunity depletion Provider attention fatigue Operational friction Smarter resource allocation for provider engagement Why not every provider should receive the same strategy This episode is designed for: Medicare Advantage Executives Vice Presidents of Quality Directors of Quality Improvement Provider Performance Leaders Provider Engagement Leaders Population Health Leaders Clinical Operations Leaders If you're responsible for improving Medicare Advantage quality performance, this episode will challenge a common assumption and provide a different way to think about provider outreach. Next Episode: Stop Treating Every Provider the Same Why Precision Provider Engagement Beats Mass Outreach If you enjoyed this episode, subscribe and follow The Execution Gap for weekly conversations on Medicare Advantage quality, provider performance, and healthcare operations.