Closing the gaps in the care network

1:13 · New York · Health insurance, Insurance, Schedule, Area of interest, Nearby places, Match with my table, Filter, Jev decision, Make a report, health insurer provider network urgent care members access gaps contracting match with my table jev report new york queens bronx brooklyn united states

Megan runs provider contracts at a health insurer in New York. Members keep writing: there is no urgent care near me in your network. She knows the gaps exist, but not where. Every quarter, an analyst spends a month comparing lists of clinics by hand. By the time the report is ready, new centres have opened, and other insurers have signed them. With xMap Flows, Megan built Cartographer. On the first Monday of each month, across the five boroughs, Cartographer finds every urgent care centre, skips the ones already in the network, keeps those rated four stars or more, scores how much each one is worth signing, and hands the contracting team a report with a map. Last month's report found thirty-eight well-rated centres outside the network, nineteen of them in Queens and the Bronx, where complaints were highest. Her team signed eleven in six weeks, and complaints about access fell by half. Megan stopped counting clinics. Now she closes the gaps.

The story in words

Scenarios and figures in the films are modelled to show what a flow produces. None describes a named customer.