Provider Resources

We Integrate Quality Every Day

Our commitment to quality isn’t about our awards, excellent quality ratings or accreditations. Yes, we continue to exceed the industry's highest standards, but at Network Health we put the spotlight on our members and ensuring that they get the right care, at the right place and the right time. 

One of the ways we do that is by coordinated efforts with providers to improve the effectiveness of member care across conditions, providers, settings and time. The expected outcome is high-quality care that is safe, efficient, timely, unbiased and patient-focused. 

Learn more about our Clinincal Integration program. 

How We Rate

Network Health evaluates the quality of care and services provided to members using two nationally-recognized tools, the Healthcare Effectiveness and Data Information Set (HEDIS®) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS®).

Learn more about our ratings
HEDIS 101 Guide for Providers

Clinical Guidelines 

Network Health adopts and follows clinical practice guidelines to improve the quality of care for our members by assisting physicians and practitioners with a framework for specific illnesses. 

Read Clinical Practice Guidelines

Member Wellness Programs 

Network Health offers a variety of member programs and incentives to educate patients on healthy lifestyle choices, wise use of medical services and what to expect in the billing process. We also work with health care system colleagues to provide awareness and intervention programs.

Learn more about our wellness programs for members

 


Network Health
1570 Midway Place
Menasha, WI 54952
Hours
Mon., Wed.-Fri.: 8 a.m. to 5 p.m.
Tuesday: 8 a.m. to 4 p.m.