I’m prepping for my transition to the feasibility team and away from the plumbing department. One of my major tasks is the creation of formal, documented knowledge instead of tacit knowledge that I just happen to know because I’ve been doing X for so long that I know why we made that decision in 2008 and how it is still echoing today and will still echo in three years.
One of the documents I’ve been working on is the network bible. Part of that process has been documenting all the networks and their membership. Below is a chart of our biggest selling networks on the commercial side of the business and the percentage of hospitals and providers included in the network. The baseline for the percentages is the number of hospitals and total docs in the broadest commercial network that we sell.
|Network||% Broad Hospitals||% Broad Docs||President during year of 1st introduction|
|Broad||100%||100%||when dinosaurs roamed the Earth|
|F||28%||100%||Obama (before PPACA passed)|
|Mayhew Narrow||82%||85%||Obama (PPACA Exchange)|
|Mayhew Super Narrow||21%||44%||Obama (PPACA Exchange)|
Note that the three commercial networks which are the top sellers by membership are narrow to very narrow networks and they were all fundamentally built when President Obama was either a state senator or a junior Senator in D.C.
Narrow networks have been around for a while and have been popular with some large employer groups as a means of controlling costs without shifting too much first dollar burden onto individuals.