Our network of In-Plan practitioners includes primary care providers, medical specialists, and behavioral health providers.
We have availability standards for geographic distribution of primary care providers and high volume specialists. High volume specialties include: obstetrics & gynecology, dermatology, ophthalmology, orthopedic surgery, and otolaryngology. Our standards ensure that our members have access to these providers within a reasonable distance.
To ensure quality, assessment of the performance of all practitioners is included in the credentialing and re-credentialing process. Health New England does not use quality measures, member experience measures or cost-related measures to select practitioners. Performance is re-assessed on an ongoing basis through the review of objective evidence from the following sources: