Overview

Arcadia's Network Modeler is a sophisticated solution designed to assist healthcare payers and providers in optimizing their networks or entering new markets. By analyzing trends and identifying challenges, opportunities, and top performers, the Network Modeler enables organizations to design high-performing networks. Leveraging data from 200 million Medicare, Medicaid, and Commercial lives, users can visualize provider density by county and service line, facilitating informed decisions to close care gaps, reduce contract costs, increase fee-for-service revenue, and maintain a competitive edge.

Features and Capabilities

• **Extensive Dataset Access: **Utilize a comprehensive dataset encompassing 200 million Medicare, Medicaid, and commercial lives.
• **Regional Data Insights: **Examine detailed regional information, including income levels, education statistics, and demographic data.
• **Provider and Facility Details: **Access in-depth information on specialists, primary care physicians (PCPs), and healthcare facilities within specific geographic areas.
• **Network Design Optimization: **Develop high-performing networks with optimal coverage using aggregated metrics on quality, cost, and other critical factors.
• **Competitive Performance Analysis: **Compare your network's performance against competitors to identify areas for improvement and maintain a competitive advantage.
• **Referral Process Enhancement: **Streamline the referral process by providing real-time, in-EHR provider recommendations, improving care coordination and efficiency.